作业疗法对老年脑卒中后抑郁伴轻度认知障碍患者精神状态及执行能力的疗效分析

Analysis of effects of occupational therapy on mental state and executive ability in elderly patients with post-stroke depression and mild cognitive impairment

中文关键词: 老年  脑卒中  作业疗法  认知障碍

英文关键词: elderly  stroke  occupational therapy  cognitive impairment

中文摘要:

      目的 分析作业疗法改善老年脑卒中后抑郁伴轻度认知障碍患者精神状态及执行能力的治疗意义.方法 回顾性分析2022年1月-2023年12月在上海市闵行区中心医院治疗的老年脑卒中后抑郁伴轻度认知障碍患者的临床资料,采用作业疗法者为观察组,未采用作业疗法者为对照组,每组30例.对照组行常规康复训练,包括运动训练和物理治疗.观察组在进行常规康复的同时,加入作业疗法.结果 连续康复干预满6个月,观察组HAMD量表得分下降到(6.47±2.01)分,相比对照组(9.22±2.13)分,差异有统计学意义(P＜0.05);观察组MMSE得分提高到(27.81±1.03)分,相比对照组(24.08±1.17)分,差异有统计学意义(P＜0.05);观察组ADL量表总分值为(89.51±5.24)分,相比对照组(74.82±5.41)分,差异有统计学意义(P＜0.05).结论 老年脑卒中后抑郁伴轻度认知障碍患者接受作业疗法,有助于改善老年脑卒中后抑郁伴轻度认知障碍患者的认知表现、精神状态和基本的日常生活执行能力.

英文摘要:

      Objective To analyze the therapeutic significance of occupational therapy in improving mental state and ex-ecutive ability in elderly patients with post-stroke depression and mild cognitive impairment.Methods The clinical data of eld-erly patients with post-stroke depression and mild cognitive impairment treated in Central Hospital of Minhang District from Jan-uary 2022 to December 2023 were retrospectively analyzed.Patients who received occupational therapy were included in the ob-servation group and those who did not receive occupational therapy were included in the control group,with 30 cases in each group.The control group received routine rehabilitation training,including exercise training and physical therapy.The observa-tion group received routine rehabilitation training and added occupational therapy.Results After 6 months of continuous reha-bilitation intervention,the HAMD score of the observation group decreased to(6.47±2.01)points,which was statistically different from the control group(9.22±2.13)points,(P＜0.05);the MMSE score of the observation group increased to(27.81±1.03)points,which was statistically different from the control group(24.08±1.17)points,(P＜0.05);the total score of the ADL scale of the observation group was(89.51±5.24)points,which was statistically different from the control group(74.82±5.41)points,(P＜0.05).Conclusion The occupational therapy is helpful to improve the cognitive perform-ance,mental state and basic ability of daily living of elderly patients with post-stroke depression and mild cognitive impairment.