认知训练对脑卒中患者肢体功能和日常独立能力的影响
文献类型：学位论文
| 作者 | 陈小云 |
| 答辩日期 | 2020-01 |
| 文献子类 | 硕士 |
| 授予单位 | 中国科学院心理研究所 |
| 授予地点 | 中国科学院心理研究所 |
| 其他责任者 | 李娟 |
| 关键词 | 脑卒中患者 偏瘫 日常生活独立能力 认知训练 肢体功能 |
| 学位名称 | 理学硕士（同等学力硕士） |
| 学位专业 | 健康心理学 |
| 其他题名 | Effect of Cognitive training on limb function recovery and Daily Independent function in Stroke patients |
| 中文摘要 | Objective:Cerebral stroke is a common cerebrovascular disease in China. Epidemiological survey shows that the annual incidence rate of stroke is 8.7%. At the same time, the incidence of stroke has a younger trend, and the rehabilitation of stroke is more and more important. Limb dysfunction, unable to complete daily life independently is the most common complication in stroke patients. The patient’s family, work and social life were severely affected. How to improve the rehabilitation effect of stroke patients, reduce complications, become the key point of current rehabilitation treatment of stroke. Cognitive disorder is a common complication of stroke. Relevant studies have shown that stroke patients. Cognitive impairment delays the rehabilitation process of patients. Based on this, this study mainly analyzes the effect of cognitive training on the rehabilitation effect of stroke patients.Methods: 46 patients with stroke in Peking University International Hospital were randomly divided into control group (n ≤ 23) and cognitive training group (n ≤ 23). The control group only received routine neurology treatment and rehabilitation treatment, while the cognitive training group received cognitive training at the same time, the above training for 30 minutes 45 minutes, 5 days a week, continuous training for 6 weeks. In this study, limb function assessment (Fugl-Meyer Assessment,FMA) was used. Vertical scale (Function Independent Measure, FIM), Cognitive function score-Lovingston Cognitive function Assessment Test (Loewenstein Occupational Therapy Cognitive Assessment, LOTCA) was used to evaluate the cognitive training effect of the two groups before and after training, and the timing of evaluation was before treatment and 6 weeks after intervention treatment.Results: There was no significant difference between the two groups in the three outcome indicators of FMA, FIM and LOTCA before treatment (P >0.05). After 6 weeks of treatment, the FMA, FIM, LOTCA scores in the control group and the cognitive training group were higher than those before treatment. But compared with the training of the control group, the scores of the cognitive training group after treatment were significantly different from those of the control group, and had statistical significance. Conclusion: cognitive training can significantly improve the limb function and independent ability of daily life in stroke patients, and can be advocated as a rehabilitation method in clinical treatment. |
| 英文摘要 | 目的：脑卒中是我国常见的脑血管疾病，流行病学调查显示，每年脑卒中的发病率的增长速度为8.7%，于此同时脑卒中的发病人群呈年轻化趋势，脑卒中的康复也越来受到重视。肢体功能障碍、日常生活不能独立完成是脑卒中患者最为常见并发症。患者的家庭、工作和社会生活受到了严重的影响。如何提高脑卒中患者的康复治疗效果，减少并发症，成为目前脑卒中康复治疗的要点。认知障碍是脑卒中常见并发症。已有相关研究证明，脑卒中患者的认知障碍延缓患者的康复进程。基于此，本研究主要分析了认知训练对脑卒中患者康复效果的影响。方法：本文主要选取北京大学国际医院46例脑卒中患者，患者有肢体偏瘫症状的同时患有认知障碍，患者随机分为对照组(n=23)和认知训练组(n=23)。对照组只接受常规神经内科治疗和康复治疗；认知训练组在接受常规神经内科治疗和康复治疗的同时还接受认知训练，上述每次训练30-45分钟，每周训练5天，不间断的坚持训练6周。本研究应用肢体功能评定(Fugl-Meyer Assessment，FMA)，功能独立性量表(Function Independent Measure, FIM)，认知功能评分-洛文斯顿认知功能评定测验(Loewenstein Occupational Therapy Cognitive Assessment, LOTCA)评估两组患者训练前后的认知训练效果，评估时机为治疗前和干预治疗6周后。结果：两组在FMA、FIM、LOTCA这三个结果指标上，治疗前差异均不显著（P＞0.05）。经过6周治疗后，对照组和认知训练组的FMA、FIM、LOTCA评分均高于治疗前。但是相较于对照组的训练，认知训练组在治疗后，其评分与对照组具有较大差异，具备统计学意义。结论：脑卒中患者认知训练对其肢体功能和日常生活独立能力有显著的提高作用，在临床治疗中可以作为一种康复治疗的方法进行倡导。 |
| 语种 | 中文 |
| 源URL | [http://ir.psych.ac.cn/handle/311026/41569]  |
| 专题 | 心理研究所_健康与遗传心理学研究室 |
| 推荐引用方式 GB/T 7714 | 陈小云. 认知训练对脑卒中患者肢体功能和日常独立能力的影响[D]. 中国科学院心理研究所. 中国科学院心理研究所. 2020. |
入库方式： OAI收割
来源：心理研究所
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