情感支持联合系统健康教育对老年脑梗死合并认知功能障碍患者不良情绪及生活质量的影响

Effects of emotional support combined with systematic health education on negative emotion and quality of life in elderly pa-tients with cerebral infarction complicated with cognitive dysfunction

中文关键词: 老年  脑梗死  认知功能障碍  情感支持  系统健康教育  不良情绪

英文关键词: elderly  cerebral infarction  cognitive dysfunction  emotional support  systematic health education  nega-tive emotion

中文摘要:

      目的 探讨情感支持联合系统健康教育对老年脑梗死合并认知功能障碍患者不良情绪及生活质量的影响.方法 纳入2023年1月—2023年10月复旦大学附属华山医院神经内科收治的恢复期老年脑梗死合并认知功能障碍患者160例,采用随机数字表法分为2组:观察组(n=80例)和对照组(n=80例).对照组住院期间进行常规护理及康复训练,观察组在与对照组相同处理的基础上加用情感支持联合系统健康教育.比较2组干预前、干预后3个月认知功能简易智力状态检查表(MMSE)、蒙特利尔认知评估量表(MoCA)、不良情绪焦虑(SAS)、抑郁(SDS)自评量表、生活能力(改良Barthel指数)及脑卒中专用生活质量量表(SS-QOL)评分.结果 干预后3个月,观察组MMSE评分、MoCA评分均高于对照组(P＜0.05);观察组SAS评分、SDS评分均低于对照组(P＜0.05);观察组改良Barthel指数评分、SS-QOL评分均高于对照组(均P＜0.05).结论 情感支持联合系统健康教育用于老年脑梗死合并认知功能障碍患者治疗中,可能提高患者的认知功能,减轻不良情绪,改善生活质量.

英文摘要:

      Objective To explore the effects of emotional support combined with systematic health education on negative emotion and quality of life in elderly patients with cerebral infarction complicated with cognitive dysfunction.Methods 160 convalescent elderly patients with cerebral infarction complicated with cognitive dysfunction admitted to Department of Neurolo-gy,Huashan Hospital Affiliated to Fudan University from January 2023 to October 2023 were included.They were divided into two groups by random number table method:observation group(n=80 cases)and control group(n=80 cases).The control group received routine nursing and rehabilitation training during hospitalization,and the observation group received emotional support combined with systematic health education on the basis of the same treatment as the control group.The scores of Mini-Mental State Checklist(MMSE),Montreal Cognitive Assessment Scale(MoCA),self-rating scale of negative emotion anxie-ty(SAS)and depression(SDS),living ability(Modified Barthel Index)and Stroke Specific Quality of Life Scale(SS-QOL)were compared between the two groups before and 3 months after intervention.Results At 3 months after intervention,MMSE score and MoCA score of the observation group were higher than those of the control group(P＜0.05);SAS score and SDS score of the observation group were lower than those of the control group(P＜0.05);the modified Barthel Index score and SS-QOL score of the observation group were higher than those of the control group(all P＜0.05).Conclusion The application of emo-tional support combined with systematic health education in the treatment of elderly patients with cerebral infarction complicated with cognitive dysfunction may improve their cognitive function,alleviate negative emotion,and improve their quality of life.