摘要
目的 探讨园艺疗法联合智能反馈训练在老年脑梗死(CI)后认知障碍患者中的应用效果。方法 前瞻性纳入于2021年12月至2023年4月至首都医科大学附属北京友谊医院就诊的92例老年CI后伴认知障碍患者为研究对象,通过随机信封法将其分为对照组(n=46)与观察组(n=46)。给予对照组园艺疗法干预,给予观察组园艺疗法联合智能反馈训练干预,2组均连续干预4周。对比干预前、最后一次干预结束时2组认知功能、下肢运动功能、平衡能力与跌倒风险。结果 干预后,2组蒙特利尔认知评估量表(MoCA)评分均上升(P<0.05),且观察组高于对照组(P<0.05);干预后,2组简化Fugl-Meyer运动功能评估表(FMA)评分、足跟内侧压力、足跟外侧压力均上升(P<0.05),且观察组高于对照组(P<0.05);干预后,2组运动椭圆面积、运动长度均下降(P<0.05),且观察组低于对照组(P<0.05);2组简明平衡评价系统测试量表(mini-BESTest)评分均上升(P<0.05),且观察组高于对照组(P<0.05);干预后,2组Morse跌倒风险评估量表评分均下降(P<0.05),且观察组低于对照组(P<0.05)。结论 园艺疗法联合智能反馈训练可促进老年CI后脑梗死患者认知功能恢复,提升下肢运动功能和平衡能力,降低跌倒发生风险。
Objective To explore the application effect of horticultural therapy combined with intelligent feedback training in elderly patients with cognitive impairment after cerebral infarction(CI).Methods This was a prospective study involving 92 elderly CI patients with cognitive impairment who visited Beijing Friendship Hospital,Capital Medical University from December 2021 to April 2023.They were randomly assigned into the control group and observation group using a random envelope method,with 46 patients in each group.Patients in the control group were managed by the horticultural therapy intervention,while those in the observation group were given horticultural therapy combined with intelligent feedback training intervention.A continuous intervention for 4 weeks was applied in both groups.Cognitive function,lower limb motor function,balance ability and fall risk were compared between the two groups before and after the intervention.Results After the intervention,the scores of the Montreal Cognitive Assessment Scale(MoCA)in both groups increased,which were significantly higher in the observation group than the control group(P<0.05).After the intervention,the simplified Fugl Meyer Motor Function Assessment(FMA)scores,medial heel pressure,and lateral heel pressure significantly increased in both groups,which were significantly higher in the observation group than the control group(P<0.05).After the intervention,the elliptical area and length of movement decreased in both groups,which were significantly lower in the observation group than the control group(P<0.05).The scores of the Mini Balance Evaluation Systems Test(mini BESTest)in both groups significantly increased,which were significantly higher in the observation group than the control group(P<0.05).After the intervention,the scores of the Morse Fall Scale(MFS)significantly decreased in both groups,which were significantly lower in the observation group than the control group(P<0.05).Conclusion Horticultural therapy combined with intelligent feedback training can promote cognitive function recovery,lower limb motor function and balance ability,and reduce the risk of falls in elderly patients with cognitive impairment after CI.
作者
张影
赵乐妍
屈丽颖
李媛媛
王丽娜
刘岩
ZHANG Ying;ZHAO Leyan;QU Liying(Department of Medical Insurance,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)
出处
《河北医药》
CAS
2024年第19期2970-2973,2977,共5页
Hebei Medical Journal
基金
中华医学会杂志社护理学科研课题(编号:CMAPH-NRI2021050)。
关键词
脑梗死
认知障碍
园艺疗法
智能反馈训练
认知功能
cerebral infarction
cognitive impairment
horticultural therapy
intelligent feedback training
cognitive function
