传统文化欣赏结合积极护理对认知障碍患者的治疗效果分析

IF 5.3 1区 医学 Q1 PSYCHIATRY
Zhiqiang Wang
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引用次数: 0

摘要

认知功能障碍主要由脑梗死、脑卒中等器质性疾病以及神经衰弱、歇斯底里、抑郁等精神疾病引起。患者通常表现出记忆力、注意力和执行功能的损伤。认知障碍引起的脑功能障碍主要影响患者自身器质性和精神性疾病的治疗。因此,目前对认知障碍的治疗强调护理的定制化和细节化,通过积极的护理工作增强患者的认知功能,训练患者的记忆力和注意力。在此过程中,使用具有叙事属性的传统文化文本可能对患者的记忆训练和认知功能恢复有积极的影响。因此,本研究以认知障碍患者为研究对象,探讨传统文化欣赏结合积极护理对患者的干预效果。方法以82例认知功能障碍患者为实验对象,将其平均分为两组。每组41例。对照组采用常规药物护理方法。实验组在常规护理的基础上,增加传统文化文本阅读环节,通过叙事文本进行注意力和工作记忆恢复训练。干预期为4周。干预后采用蒙特利尔认知功能量表对患者的认知功能进行评估。同时,采用日常生活能力指数量表对患者的生活能力进行分析。结果在护理干预前后,对两组患者进行蒙特利尔认知功能和日常生活能力指数调查,具体结果见表1。从表1可以看出,在患者的认知功能评价中,对照组患者干预前的评价为10.24±1.68,干预后的评价为15.55±2.36,而实验组患者干预前和干预后的认知功能评价分别为10.33±1.73和19.24±2.43。由此可见,实验组的护理对患者认知功能恢复的影响更为显著。在生活能力指标方面,对照组干预前后的评分分别为58.59±5.44和75.76±6.63,实验组干预前后的评分分别为59.13±5.50和78.56±7.24。由此可见,在生活能力恢复方面,本研究提出的传统文化欣赏结合主动护理的方法也优于传统护理方法。实验结果表明,注意和工作记忆康复训练可以融入传统的文化欣赏活动中。通过传统的文化欣赏活动进行认知训练,可以有效地增强患者的认知功能,同时对恢复患者的生活能力也有一定的作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
72 ANALYSIS OF THE THERAPEUTIC EFFECT OF TRADITIONAL CULTURAL APPRECIATION COMBINED WITH ACTIVE NURSING ON PATIENTS WITH COGNITIVE IMPAIRMENT
Background Cognitive dysfunction is mainly caused by organic diseases such as cerebral infarction and stroke, as well as mental illnesses such as neurasthenia, hysteria, and depression. Patients typically exhibit impairments in memory, attention, and executive function. The brain dysfunction caused by cognitive impairment mostly affects the treatment of patients’ own organic and mental illnesses. Therefore, the current treatment of cognitive impairment emphasizes the customization and detailing of nursing care, enhancing patients’ cognitive function through active nursing work, and training patients’ memory and attention. During this process, using traditional cultural texts with narrative attributes may have a positive impact on patients’ memory training and cognitive function recovery. Therefore, the study focuses on patients with cognitive impairment and explores the intervention effect of traditional cultural appreciation combined with active nursing on patients. Methods The study used 82 patients with cognitive impairment as experimental subjects and divided them into two groups on average. Each group consists of 41 cases. The control group received conventional medication nursing methods. On the basis of routine nursing, the experimental group added a traditional cultural text reading session and conducted attention and working memory recovery training through narrative texts. The intervention lasted for 4 weeks. After the intervention, the cognitive function of the patients was evaluated using the Montreal Cognitive Function Scale. Meanwhile, the daily living ability index scale was used to analyze the patient’s living ability. Results Before and after nursing intervention, two groups of patients were surveyed on the Montreal Cognitive Function and Daily Living Ability Index, and the specific results are shown in Table 1. From Table 1, it can be seen that in the cognitive function evaluation of patients, the evaluation of the control group patients before intervention was 10.24±1.68, which increased to 15.55±2.36 after intervention, while the cognitive function evaluation of the experimental group patients before and after intervention was 10.33±1.73 and 19.24±2.43, respectively. It can be seen that the nursing of the experimental group has a more significant effect on the cognitive function recovery of patients. In terms of life ability indicators, the evaluation of the control group before and after intervention was 58.59±5.44 and 75.76±6.63, respectively, while the evaluation of the experimental group was 59.13±5.50 and 78.56±7.24. It can be seen that in terms of the recovery of life ability, the traditional cultural appreciation combined with active nursing proposed in the study is also superior to traditional nursing methods. Discussion The experimental results indicate that attention and working memory rehabilitation training can be integrated into traditional cultural appreciation activities. Cognitive training conducted through traditional cultural appreciation activities can effectively enhance patients’ cognitive function, while also having an effect on restoring their living abilities.
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来源期刊
Schizophrenia Bulletin
Schizophrenia Bulletin 医学-精神病学
CiteScore
11.40
自引率
6.10%
发文量
163
审稿时长
4-8 weeks
期刊介绍: Schizophrenia Bulletin seeks to review recent developments and empirically based hypotheses regarding the etiology and treatment of schizophrenia. We view the field as broad and deep, and will publish new knowledge ranging from the molecular basis to social and cultural factors. We will give new emphasis to translational reports which simultaneously highlight basic neurobiological mechanisms and clinical manifestations. Some of the Bulletin content is invited as special features or manuscripts organized as a theme by special guest editors. Most pages of the Bulletin are devoted to unsolicited manuscripts of high quality that report original data or where we can provide a special venue for a major study or workshop report. Supplement issues are sometimes provided for manuscripts reporting from a recent conference.
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