摘要
目的探讨个性化康复训练对帕金森痴呆患者康复效果的影响.方法选择2018年1月—2019年12月该院神经内科收治的68例帕金森痴呆患者,按照随机数字表法分为两组,每组34例.对照组采用常规护理,观察组在此基础上进行个性化康复训练.干预4周后,评估两组患者的智力状态、认知功能及生活质量.结果比较两组干预前的简易智力状态检查(mini-mental state examination,MMSE)评分,差异无统计学意义(P>0.05);干预后,观察组的MMSE评分高于干预前,且观察组评分高于对照组,组间差异有统计学意义(P<0.05).比较两组干预前的蒙特利尔认知评估量表(Montreal cognitive assessment,MoCA)评分,差异无统计学意义(P>0.05);干预后,两组的MoCA评分均高于各组干预前,且观察组MoCA评分高于对照组,组间差异有统计学意义(P<0.05).比较两组干预前的日常生活能力、精神行为与情绪、运动功能评分,组间差异无统计学意义(P>0.05);干预后,观察组的上述各项评分均低于对照组,组间差异有统计学意义(P<0.05).结论个性化康复训练有助于改善帕金森痴呆患者的智力水平及认知功能,提高其生活质量.
Objective To explore the effect of personalized rehabilitation training on the rehabilitation effect of patients with Parkinson's dementia.Methods 68 patients with Parkinson's dementia admitted to the neurology department of this hospital from January 2018 to December 2019 were selected.They were divided into two groups according to the random number table method,with 34 cases in each group.The control group received routine nursing,and the observation group received personalized rehabilitation training on this basis.After 4 weeks of intervention,the intellectual status,cognitive function and quality of life of patients in both groups were assessed.Results Comparison of the mini-mental state examination(MMSE)scores of the two groups before the intervention,the difference was not statistically significant(P>0.05);after the intervention,the MMSE score of the observation group was higher than that before the intervention,and the score of the observation group was higher than that of the control group,the difference between the groups was statistically significant(P<0.05).Comparing the Montreal cognitive assessment(MoCA)scores of the two groups before the intervention,the difference was not statistically significant(P>0.05);after the intervention,the MoCA scores of both groups were higher than those of the groups before the intervention,and the MoCA score of the observation group was higher than that of the control group,and the difference between the groups was statistically significant(P<0.05).Comparing the scores of daily living ability,mental behavior and emotion,and motor function before the intervention in the two groups,there were no statistically significant differences between the groups(P>0.05);after the intervention,the above scores of the observation group were lower than those of the control group,the differences between the groups were statistically significant(P<0.05).Conclusion Personalized rehabilitation training can help improve the intelligence and cognitive function of patients with Parkinson's disease,and improve their quality of life.
作者
吕洁
LYU Jie(Department of Neurology,North University Medical Lu Zhong Hospital,Zibo Shandong,255400,China)
出处
《反射疗法与康复医学》
2021年第4期168-171,共4页
Reflexology And Rehabilitation Medicine
关键词
帕金森痴呆
个性化康复训练
康复效果
Parkinson's dementia
Personalized rehabilitation training
Rehabilitation effect
