Application of comprehensive cognitive reinforcement intervention in patients with spinal cord injury
10.3761/j.issn.0254-1769.2023.22.006
- VernacularTitle:认知强化综合干预在脊髓损伤患者中的应用研究
- Author:
Haowei YUAN
1
;
Lunlan LI
;
Jinmei QI
;
Qing DAI
;
Chenxia LIAO
;
Xin GAO
;
Hui HUANG
;
Peipei DING
;
Linsheng FENG
Author Information
1. 230022 合肥市 安徽医科大学护理学院
- Keywords:
Spinal Cord Injury;
Cognitive Dysfunction;
Comprehensive Cognitive Reinforcement Intervention;
Rehabilitation Nursing
- From:
Chinese Journal of Nursing
2023;58(22):2726-2733
- CountryChina
- Language:Chinese
-
Abstract:
Objective To use the cognitive reinforcement comprehensive intervention program constructed by our team to intervene in patients with spinal cord injury and evaluate its clinical application effect.Methods A non-randomized trial design was adopted to select 97 patients with spinal cord injury from November 2021 to September 2022.Forty-four patients from March to September 2022 in a Grade A hospital in Hefei City were included in the experimental group,and 53 patients from November 2021 to February 2022 were included in the control group.The cognitive reinforcement comprehensive intervention program was used to intervene in the experimental group,and the conventional rehabilitation nursing was used to intervene in the control group.The intervention lasted for 12 weeks in both groups.The Changsha Montreal Scale,Social Support Rating Scale,Rehabilitation Exercise Self-efficacy Scale,Spinal Cord Injury Independence Rating Scale and Hamilton Anxiety Scale were used to measure the two groups before intervention,1 month after intervention and 3 months after intervention.Results 40 cases in the experimental group and 48 cases in the control group completed the study.Repeated measurement ANOVA showed that the temporal,interactive and intergroup effects of cognitive function scores and anxiety scores were statistically significant(P＜0.05).The time effect and interaction effect of the subjective support dimension score,coping self-efficacy dimension score of the two groups were statistically significant(P＜0.05).One month after the intervention,the cognitive function scores of test group were higher than before intervention and control group,and the anxiety scores were lower than before intervention and control group(P＜0.05).Three months after the intervention,the scores of cognitive function,subjective support dimension and coping self-efficacy dimension of experimental group were higher than those before intervention and control group,and the scores of anxiety level were lower than those before intervention and control group(P＜0.05).Conclusion Comprehensive intervention of cognitive reinforcement can improve the cognitive function of patients with spinal cord injury,delay the process of cognitive impairment,enhance self-confidence,relieve anxiety,and promote physical and mental rehabilitation of patients.
