摘要
目的:观察蒙台梭利感官教育法对脑卒中后非痴呆认知功能障碍(post stroke cognitive impairment of non-dementia,PSCIND)患者的影响。方法:选取符合纳入标准的PSCIND患者60例,随机分为观察组和对照组各30例,两组均接受常规的药物治疗和运动、认知康复训练,观察组在上述基础上加用蒙台梭利感官教育法训练,以小组形式,每次40min,每周3次,共12周。治疗前后采用简易精神状态检查量表(mini-mental state examination,MMSE)、蒙特利尔认知评估量表(Montreal cognitive assess,MoCA)和改良Barthel指数量表(modified barthel index,MBI)评估治疗效果。结果:治疗前两组的MMSE、MoCA及MBI评分差异均无显著性意义(P>0.05);治疗12周后,观察组MMSE、MBI、MoCA总分及八个认知维度评分均较治疗前提高,差异均具有显著性意义(P<0.05);对照组治疗后MMSE、MBI、MoCA总分及视空间执行能力、图命名、计算、延迟回忆四个认知维度评分较治疗前提高,差异有显著性意义(P<0.05);观察组治疗后MMSE、MBI、MoCA各维度评分(除计算外)及MoCA总分的治疗前后差值均高于对照组,差异均具有显著性意义(P<0.05)。结论:蒙台梭利感官教育法能较全面提高脑卒中后非痴呆认知功能障碍患者的认知功能,并能提高日常生活能力,从而提高生存质量,值得推广。
Objective:To observe the effect of Montessori sensorial education on patients with posting stroke cognitive impairment of non-dementia(PSCIND).Method:Totally 60 patients with PSCIND who met the inclusion criteria were selected and randomly divided into the observation group and the control group each with 30 cases. Both groups received conventional drug therapy and exercise and cognitive rehabilitation training, and the observation group was further trained with Montessori sensorial education method based on of the above therapy,in the form of groups,each time for40 minutes,three times a week,for a total of 12 weeks. Mini-mental state examination scale(MMSE),Montreal cognitive assess scale(MoCA) and modified Barthel index scale(MBI) were used to evaluate the therapeutic effect before and after treatment.Result:There was no significant difference in MMSE,MoCA and MBI scores between the two groups before treatment(P>0.05). After 12 weeks of treatment, the total scores of MMSE, MBI and MoCA and the scores of eight cognitive domains in the observation group were all higher than those before treatment,and all the differences were statistically significant(P<0.05). After treatment,the total scores of MMSE,MBI and MoCA and the scores of visual spatial executive ability,map naming,calculation and delayed recall in the control group are all higher than those before treatment,and all the differences arestatistically significant(P<0.05). After treatment the scores of MMSE and MBI in the observation group were all higher than those in the control group,all the differences showed statistically significant(P<0.05). The differences were the same on the MoCA scores in each domains(except calculation) and Mo CA total score before and after treatment.Conclusion:The Montessori sensorial education method can comprehensively improve the cognitive function of patients with posting stroke cognitive impairment of non-dementia,and improve the ability of daily life,thus improving the quality of life,which is worthy of promotion.
作者
黄丽君
林浴坤
陈松
林建峰
刘丽梅
陈建辉
侯来永
HUANG Lijun;LIN Yukun;CHEN Song(Department of Rehabilitation Medicine,Affiliated Hospital of Putian University,Putian,Fujian,351100)
出处
《中国康复医学杂志》
CAS
CSCD
北大核心
2021年第1期63-69,共7页
Chinese Journal of Rehabilitation Medicine
关键词
脑卒中
非痴呆认知功能障碍
蒙台梭利教育法
感官教育
stroke
post stroke cognitive impairment of non-dementia
Montessori method of education
sensory education
