摘要
目的:探讨基于正强化理论的康复训练在血管性痴呆患者中的应用效果。方法:选取2022年6月—2024年5月南通市紫琅医院收治的70例血管性痴呆患者进行研究,随机分为两组,各35例。对照组实施常规康复训练,研究组在对照组基础上实施基于正强化理论的康复训练。对比两组认知功能[蒙特利尔认知评估量表(MoCA)评分]、负面情绪[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分]及生活质量评分。结果:干预后,两组MoCA、生理机能、生理职能、身体疼痛、一般健康、精力、社会功能、情感职能、精神健康评分升高,与对照组比较,研究组评分较高(P<0.05);干预后,两组HAMA、HAMD评分降低,且研究组低于对照组(P<0.05)。结论:基于正强化理论的康复训练在血管性痴呆患者中的应用效果良好,有助于提高患者认知功能、生活质量,改善负面情绪。
Objective:To explore the application effect of positive reinforcement theory-based rehabilitation training in patients with vascular dementia.Methods:A total of 70 patients with vascular dementia admitted to Nantong Zilang Hospital from June 2022 to May 2024 were selected for the study.They were randomly divided into two groups with 35 cases in each group.The control group received routine rehabilitation training,and the study group received positive reinforcement theory-based rehabilitation training on the basis of the control group.Cognitive function[Montreal Cognitive Assessment scale(MoCA)score],negative mood[Hamilton Anxiety Rating Scale(HAMA)and Hamilton Depression Rating Scale(HAMD)scores]and quality of life scores were compared between the two groups.Results:After the intervention,the scores of MoCA,physiological function,physiological functioning,physical pain,general health,energy,social function,emotional function and mental health in the two groups increased,and the scores in the study group were higher than those in the control group(P<0.05).After intervention,the scores of HAMA and HAMD in the two groups decreased,and the scores in the study group were lower than those in the control group(P<0.05).Conclusion:The rehabilitation training based on positive reinforcement theory has a good effect in patients with vascular dementia,and is helpful to improve patients'cognitive function and quality of life,and ameliorate negative emotions.
作者
王璐璐
Wang Lulu(Nantong Zilang Hospital,Nantong 226000,Jiangsu Province,China)
出处
《中国社区医师》
2024年第34期151-153,共3页
Chinese Community Doctors
关键词
正强化理论
康复训练
血管性痴呆
Positive reinforcement theory
Rehabilitation training
Vascular dementia
