脑卒中后便秘与认知功能的护理干预

目的探讨对脑卒中后便秘患者行认知功能护理干预的临床效果。 方法选择2014年2月至2016年5月中山市坦洲医院收治的106例脑卒中后便秘患者，将患者按照数字表法随机分为两组，对照组53例给予常规护理及行为干预；观察组53例在对照组基础上给予个性化认知功能护理干预，干预后第2疗程对比分析两组的临床效果。 结果观察组干预后第2疗程便秘症状评分(2.43±2.28)分显著低于对照组(3.97±2.20)分，差异具有统计学意义(t＝7.526，P<0.05)。观察组干预后第2疗程MMSE评分(28.57±2.63)分明显高于对照组的(27.49±2.98)分，差异具有统计学意义(t＝0.597，P<0.05)。观察组干预后第2疗程BI评分(91.76±13.49)分明显高于对照组的(80.61±14.34)分，差异具有统计学意义(t＝0.912，P<0.05)。 结论认知功能训练护理干预能够显著提高脑卒中后便秘患者认知功能和日常生活能力，还可以显著的改善患者便秘症状，值得临床应用推广。

Constipation after stroke and nursing intervention of cognitive function

ObjectiveTo explore the Cognitive function, Cognitive function, CF) of nursing intervention on constipation after stroke (Const1Pat1on) in patients with clinical effect. Methods106 patients with constipation after stroke in accordance with the digital meter method is divided into two groups at random, 53 cases were given routine nursing and behavior intervention; Observation group 53 cases in the control group on the basis of giving personalized nursing intervention cognitive function, analysis of the clinical effect of the two groups. ResultsObservation group after the intervention treatment of constipation symptom scores 2 (2.43 + 2.28) significantly lower than the control group (3.97+ 2.20) points (t=7.526, P<0.05), the observation group after the intervention treatment MMSE score 2 (28.57-2.63) significantly higher than that of control group (27.49+ 2.98) points (t=0.597, P<0.05), the observation group after the intervention treatment 2 BI score (91.76-13.49) significantly higher than that of control group (80.61+ 14.34) points (t=0.912, P<0.05). ConclusionCognitive function training of the nursing intervention can significantly improve cognitive function in patients with constipation after stroke (stroke) (CF) and daily life ability (ActivitiesofDaily Living, ADL), also can significantly improve the symptoms of patients with constipation, worthy of clinical application vigorously promoted.