目的 探讨配偶参与注意力训练对中年脑卒中认知功能障碍患者认知功能恢复的效果.方法 将98例中年脑卒中认知功能障碍患者按时间顺序分为对照组和观察组,对照纽按常规护理,观察组安排配偶参与注意力训练,包括凝视法、冥想法、复述法、寻物游戏法等.于干预后3、6个月对患者的认知障碍严重程度和康复效果满意度进行测评.结果 干预后观察组认知障碍严重程度显著轻于对照组,对认知功能恢复效果的满意度显著高于对照组(均P＜0.01).结论 配偶参与的注意力训练对中年脑卒中认知功能障碍患者的认知功能恢复效果显著.%Objective To explore the effect of spouse's participation in attention training on cognitive function recovery in middle-aged patients developing cognitive impairment after stroke.Methods According to the timeline,98 middle aged patients developing cognitive impairment after stroke were divided into a control group and an experimental group.The control group received routine nursing care,while the experimental group received attention training which involved their spouse's participation in gazing,meditati on,repetition,and thing-seeking game.Patients were assessed 3 months and 6 months after the intervention in terms of cognitive impairment severity and satisfaction with rehabilitation outcomes.Results After the intervention,the experimental group had milder cognitive impairment,and higher satisfaction with rehabilitation outcomes,than the control group (P＜0.01 for both).Conclusion Spouse's participation in attention training can significantly improve cognitive function in patients developing cognitive impairment after stroke.
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