个体化作业疗法对老年脑卒中后认知障碍的影响

目的探讨个体化作业疗法对老年脑卒中认知障碍患者的康复疗效。方法60 例老年脑卒中认知障碍患者分为治疗组(n=30)和对照组(n=30)，两组患者入院后均接受常规康复训练，治疗组在此基础上给予个体化作业治疗。治疗前后采用简易精神状态检查(MMSE)及改良Barthel 指数(MBI)进行评定。结果治疗后治疗组MMSE 评分显著高于治疗前(P<0.001)，对照组治疗前后MMSE 评分无显著性差异(P>0.05)。治疗后，两组MBI 评分均高于治疗前(P<0.05)，治疗组与对照组相比有非常高度显著性差异(P<0.001)。结论个体化作业疗法可明显改善老年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。

Effects of Individual Occupational Therapy on Cognitive Impairment of Elderly with Stroke

Objective To observe the effects of individual occupational therapy on cognitive impairment of elderly with stroke.Methods 60 elderly stroke patients with cognitive impairment were divided into treatment group(n=30) and control group(n=30).All the patients accepted routine rehabilitation,and the treatment group accepted individual occupational therapy in addition.They were evaluated with Mini-mental State Examination(MMSE) and modified Barthel index(MBI) before and after treatment.Results The score of MMSE increased significantly in the treatment group after treatment(P<0.001),but was not different significantly in the control group(P>0.05).The score of MBI increased significantly in both groups after treatment(P<0.05),and increased more in the treatment group than in the control group(P<0.001).Conclusion Individual occupational therapy can improve the cognitive function and the activities of daily living for the elderly stroke patients with cognitive impairment.