认知行为疗法结合生物反馈训练对冠状动脉搭桥术后患者认知功能效果评价

摘要

目的:观察认知行为疗法(CBT)结合生物反馈训练,对行冠状动脉搭桥术后认知功能障碍患者的康复护理效果.方法:纳入80例择期行冠脉搭桥术后认知功能障碍的患者,随机分为试验组(n=40)和对照组(n=40),对照组进行常规康复护理,试验组加用认知行为疗法结合生物反馈训练,比较两组干预前后的蒙特利尔认知功能评估量表(MoCA)评分情况.结果:试验组在命名、注意力、抽象思维、延迟回忆单项评分及总标准分较干预前评分提高(P＜0.05);对照组的总标准分较干预前提高(P＜ 0.05);试验组在注意力、语言、延迟回忆单项评分及总标准分较对照组评分提高(P＜0.05).结论:CBT结合生物反馈训练可改善冠脉搭桥术后患者的认知功能,提高康复效果.%Objective:To explore rehabilitative nursing effects of cognitive behavior therapy combined with biofeedback training on patients with cognitive dysfunction of patients among after coronary artery bypass graft.Method:A total of 80 patients with cognitive dysfunction after coronary artery bypass surgery were divided into the control group (n=40) and the experimental group (n=40).The control group received conventional rehabilitative nursing,and the experimental group received additional cognitive behavior therapy combined with biofeedback training.Montreal cognitive assessment scale (MoCA) was used to evaluate cognitive functions before and after intervention.Result:The naming,attention,abstract thinking,delayed recall individual score and total standard score significantly increased for the experimental group (P＜ 0.05);Total standard score significantly improved for the control group (P ＜ 0.05);The attention and language and delayed memory score and total standard score of experimental group elevated more than the controls.Conclusion:Cognitive behavior therapy combined with biofeedback training can improve the cognitive function and effect of rehabilitation of patients after coronary artery bypass graft.