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| 超早期神经康复联合认知干预训练对脑卒中患者神经功能、心理状态及生活质量的影响 |
| The impact of ultra early neurorehabilitation combine with cognitive intervention training on neurological function, psychological status, and quality of life of stroke patients |
| 投稿时间：2025-03-15 修订日期：2025-03-15 |
| DOI： |
| 中文关键词: 超早期神经康复 认知干预训练 脑卒中 神经功能 心理状态 生活质量 |
| 英文关键词: Ultra early neurological rehabilitation Cognitive intervention training Stroke Neurological function Psychological state Quality of life |
| 基金项目:福建省自然科学基金联合资助项目（2024JO11619） |
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| 中文摘要: |
| 目的：观察超早期神经康复联合认知干预训练对脑卒中患者神经功能、心理状态、生活质量的影响。方法：采用随机数字表法，将我院2023年4月~2024年5月收治的89例脑卒中患者分为对照组（常规康复干预联合认知干预训练，44例）和研究组（对照组基础上结合超早期神经康复，45例）。对比两组神经功能和日常生活自理能力、心理状态、生活质量、满意度。结果：干预14d后，研究组美国国立卫生研究院卒中量表（NIHSS）评分、焦虑自评量表（SAS）、抑郁自评量表（SDS）评分低于对照组；生活质量综合评定问卷-74（CQOLI-74）评分、改良Barthel 指数（MBI）评分高于对照组（P<0.05）。研究组的总满意率高于对照组（P<0.05）。结论：超早期神经康复联合认知干预训练用于脑卒中患者，可有效改善患者的神经功能及日常生活自理能力，减少焦虑抑郁情绪，提高患者的生活质量，且患者满意度较好。 |
| 英文摘要: |
| Objective: To observe the impact of ultra early neurorehabilitation combine with cognitive intervention training on the psychological state, neurological function, and quality of life of stroke patients. Method: Using random number table method, 89 stroke patients who were admitted to our hospital from April 2023 to May 2024 were divided into control group (conventional rehabilitation intervention combined with cognitive intervention training, 44 cases) and study group (control group combined with ultra early neurological rehabilitation, 45 cases). The neurological function, daily self-care ability, psychological state, quality of life, and satisfaction between two groups were compared. Result: 14d after intervention, the study group had lower scores on the national institutes of health stroke scale (NIHSS), self rating anxiety scale (SAS), and self rating depression Scale (SDS) compared to the control group, had higher scores of the comprehensive quality of life evaluation questionnaire-74 (CQOLI-74) and the modified barthel index (MBI) (P<0.05). The overall satisfaction rate of the study group was higher than that of the control group (P<0.05). Conclusion: Ultra early neurorehabilitation combine with cognitive intervention training can effectively improve the neurological function and daily self-care ability of stroke patients, reduce anxiety and depression, improve their quality of life, and achieve good patient satisfaction. |
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