游戏疗法对老年脑卒中认知功能及情绪障碍的影响

目的:探讨游戏疗法对老年护理医院脑卒中患者认知功能及情绪障碍的影响。方法:选取脑卒中患者认知功能及情绪障碍患者85例,分为对照组41例和研究组44例,对照组常规训练结合常规作业治疗,研究组在常规训练的基础上,加入治疗师设计的游戏疗法,于治疗前、治疗3及12个月后的随访进行蒙特利尔认知量表(MoCA)、贝克抑郁量表(BDI)评估。结果:治疗3个月后,2组MoCA评分均较入组时明显升高(P0.05),且研究组高于对照组(P0.05);12个月后随访,研究组MoCA评分较治疗3个月后显著降低(P0.05),但与入组时比较差异无统计学意义,对照组MoCA评分12个月后随访时较治疗3个月后及入组时显著降低(P0.05),研究组MoCA评分显著高于对照组(P0.05)。治疗3个月后,2组BDI评分均较入组时明显减低(P0.05),2组间比较差异无统计学意义;12个月后随访,研究组BDI评分较治疗3个月后明显升高(P0.05),但仍显著低于入组时(P0.05),对照组BDI评分较治疗3个月后及入组时明显升高(P0.05),研究组BDI评分明显低于对照组(P0.05)。结论:游戏疗法对改善老年脑卒中患者认知功能有积极效果,但对情绪障碍的改善还有待进一步的研究。

Effect of game therapy on cognitive function and emotional disorder in elderly patients with stroke

Objective: To explore the effect of game therapy on cognitive function and emotional disorder in elderly patients with stroke. Methods: Eighty-five stroke patients with cognitive function and emotional disorder were randomly divided into control group (41 cases) and study group (44 cases). The control group received routine therapy, and the study group received game therapy on the basis of the control group. Montreal cognitive assessment (MoCA) and Beck Depression Scale (BDI-II-C) were evaluated before treatment, at 3rd month after treatment and at 12th month of follow-up. Results: After treatment for 3 months, the MoCA and BDI-II-C scores in the study group were improved more than those in the control group (P<0.05). After 12 months of follow-up, the MoCA scores in the study group were much higher than those in the control group, and lower than those after treatment for 3 months, but there was no significant difference before and after treatment. The MoCA in the control group was lower than after 3 months of treatment and before treatment. After 3 months of treatment, BDI-II-C scores in both two groups were lower than those before treatment, while there was no significant difference between the study group and the control group (P<0.05). Conclusion: Game therapy can effectively improve cognitive function and emotional disorder in elderly patients with stroke.