Analysis of related factors of cognitive rehabilitation in patients with aphasia after cerebral infarction
10.3760/cma.j.issn.1674-2907.2019.04.027
- VernacularTitle:脑梗死后失语患者认知水平康复的相关因素分析
- Author:
Kunying LI
1
,
2
;
Xiaoli CHEN
;
Yancun LI
Author Information
1. 武汉大学健康学院,武汉 430071
2. 西安交通大学第二附属医院康复医学科,西安 710004
- Keywords:
Aphasia;
Cerebral infarction;
Cognitive function;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2019;25(4):490-493
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To explore the factors that affect the cognitive rehabilitation of aphasia after cerebral infarction, so as to provide reference for early diagnosis and rehabilitation. Methods? A total of 123 patients with post-infarct aphasia who were hospitalized in the Second Affiliated Hospital of Xi'an Jiaotong University from September 2016 to September 2017 were selected as the study subjects. Patients' cognitive status was assessed based on the increase in scores of the National Institute of Health Stroke Scale (NIHSS), Mini-Mental State Examination(MMSE),Aphasia Battery of Chinese(ABC), Non-Language-Based Congnitive Assessment (NLCA), and Stroke Aphasic Depression Questionnaire Hospital Version (SADQ-H) after 3 months. The level of rehabilitation was evaluated and divided into two groups: good group (n=92) and bad group (n=31). The clinical data of the two groups after 1 week of onset were compared and analyzed. Results? Univariate analysis revealed that differences in age, education level, disposable income, drinking history, smoking history, whether the lesions involved the cortex, and NIHSS score, ABC score, NLCA score, and SADQ-H score between the two groups were statistically significant (P＜0.05). Logistic regression analysis showed that age equal to or over 70 years, smoking history, drinking history, involvement of lesions in the cortex, and 1 week in hospital of NLCA score were all independent risk factors for cognitive impairment in patients with aphasia after cerebral infarction (P＜ 0.05). Conclusions? Elderly patients over 70 years of age, previous history of smoking and drinking, involvement of lesions in the cortex, and NLCA score are risk factors for cognitive rehabilitation in patients with aphasia after cerebral infarction. Based on this, we can formulate targeted interventions for patients with the above risk factors.
