团体认知行为的作业训练对脑卒中后认知障碍的效果

doi:10.3969/j.issn.1006-9771.2019.09.015

《中国康复理论与实践》 ›› 2019, Vol. 25 ›› Issue (9): 1070-1074.doi: 10.3969/j.issn.1006-9771.2019.09.015

团体认知行为的作业训练对脑卒中后认知障碍的效果

张丽¹, 刘晓丹¹, 薛炘¹, 金雪明¹, 朱锦杰², 陶然², 胡军^1,3

1.上海中医药大学康复医学院，上海市 201203
2.上海新起点康复医院康复治疗部，上海市 201100
3.上海中医药大学附属岳阳中西医结合医院康复医学科，上海市 200437

收稿日期:2019-04-30 修回日期:2019-05-27 出版日期:2019-09-25 发布日期:2019-09-25
通讯作者: 胡军，E-mail: jasonhwu@126.com E-mail:jasonhwu@126.com
作者简介:张丽(1995-)，女，汉族，安徽滁州市人，硕士研究生，主要研究方向：神经及老年疾病的康复。
基金资助:
1.上海中医药大学预算内项目(No. A1-GY01100101; No. 18TS081)；2.上海中医药大学“歧康”青年创新人才计划项目(No. A4-Q1501805)

Effect of Group Occupational Training Based on Cognitive Behavioral Therapy on Post-stroke Cognitive Impairment

ZHANG Li¹, LIU Xiao-dan¹, XUE Xin¹, JIN Xue-ming¹, ZHU Jin-jie², TAO Ran², HU Jun^1,3

1.School of Rehabilitation Science, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China
2.Department of Rehabilitation, Shanghai New Beginning Rehabilitation Hospital, Shanghai 201100, China
3.Department of Rehabilitation, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China

Received:2019-04-30 Revised:2019-05-27 Published:2019-09-25 Online:2019-09-25
Contact: HU Jun, E-mail: jasonhwu@126.com E-mail:jasonhwu@126.com
Supported by:
Supported by Shanghai University of Traditional Chinese Medicine Budgeted Scientific Research Project (No. A1-GY01100101; No. 18TS081) and Shanghai University of Traditional Chinese Medicine Qikang Youth Innovation Program (No. A4-Q1501805)

摘要/Abstract

摘要： 目的探讨基于认知行为的团体作业训练对脑卒中后认知障碍患者的临床疗效。方法 2018年5月至2019年3月，脑卒中后认知障碍患者56例随机分为对照组(n = 29)和试验组(n = 27)。两组均接受常规康复治疗，试验组接受团体认知作业训练，每周3次，共12次。干预前后采用蒙特利尔认知评定量表(MoCA)、改良Barthel指数(MBI)和简明健康状况调查量表(SF-36)进行评定。结果干预后两组MoCA总分、MBI评分和SF-36平均分均提高(t > 2.275, P < 0.05)，试验组各项评分干预前后差值均明显高于对照组(t > 2.835, P < 0.01)。结论团体作业训练可改善脑卒中后认知障碍患者的认知功能，提高日常生活活动能力和生活质量。

关键词: 脑卒中, 认知障碍, 团体治疗, 认知行为疗法, 作业疗法

Abstract: Objective To explore the clinical effect of group occupational training based on cognitive behavior on patients with post-stroke cognitive impairment. Methods From May, 2018 to March, 2019, 56 patients with post-stroke cognitive impairment were randomly divided into control group (n = 29) and experimental group (n = 27). Both groups received routine rehabilitation, and the experimental group received group occupational therapy, three times a week, for twelve times. They were assessed with Montreal Cognition Assessment (MoCA), modified Barthel Index (MBI) and the Short Form of Health Survey (SF-36) before and after intervention. Results The scores of MoCA, MBI and SF-36 increased in both groups after intervention (t > 2.275, P < 0.05), and their difference before and after intervention was more in the experimental group than in the control group (t > 2.835, P < 0.01). Conclusion Group occupational training can improve the cognitive function of patients with post-stroke cognitive impairment and improve their activities of daily living and quality of life.

Key words: stroke, cognitive impairment, group therapy, cognitive behavior therapy, occupational therapy

中图分类号:

R743.3

张丽, 刘晓丹, 薛炘, 金雪明, 朱锦杰, 陶然, 胡军. 团体认知行为的作业训练对脑卒中后认知障碍的效果[J]. 《中国康复理论与实践》, 2019, 25(9): 1070-1074.

ZHANG Li, LIU Xiao-dan, XUE Xin, JIN Xue-ming, ZHU Jin-jie, TAO Ran, HU Jun. Effect of Group Occupational Training Based on Cognitive Behavioral Therapy on Post-stroke Cognitive Impairment[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2019, 25(9): 1070-1074.

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团体认知行为的作业训练对脑卒中后认知障碍的效果

Effect of Group Occupational Training Based on Cognitive Behavioral Therapy on Post-stroke Cognitive Impairment

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