Application of nursing team led multidisciplinary cooperative intervention in postoperative cognitive rehabilitation of patients with ischemic stroke
10.3760/cma.j.issn.1674-2907.2019.21.012
- VernacularTitle:以护理团队为主导的多学科协作干预训练在缺血性脑卒中术后患者认知功能康复中的应用
- Author:
Xin GUAN
1
;
Jun WANG
;
Chunmei MA
;
Zheng WANG
Author Information
1. 首都医科大学宣武医院神经外科
- Keywords:
Multidisciplinary collaboration;
Vascular cognitive impairment;
Cognitive function;
Quality of Life;
Interventional training
- From:
Chinese Journal of Modern Nursing
2019;25(21):2695-2699
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To explore the application effects of the nursing team led multidisciplinary cooperative intervention in postoperative cognitive rehabilitation of patients with ischemic stroke. Methods? From May 2016 to June 2017,80 patients with cognitive dysfunction after ischemic stroke in a ClassⅢ Grade A hospital in Beijing were selected and randomly divided into observation group and control group based on random number table,with 40 patients in each group. The control group received the routine nursing care and on the basis of that, the observation group received the nursing team led multidisciplinary cooperative intervention. The cognitive function and quality of life in two groups were assessed by the Mini-Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), and World Health Organization Quality of Life in Brief Version (WHOQOL-BRIEF) before and 6 months after intervention. Results? Six months after intervention,the MMSE and MoCA scores of the observation group were (29.35±0.58) and (26.70±2.03) scores, which were statistically different from the control group (t=5.64, 4.15;P＜0.05). The total score,scores of physiological field,psychological field and social field in the quality of life of the observation group were (64.59±5.14), (16.94±1.43),(17.10±1.55), and (15.60±1.07)scores,which were significantly higher than the control group (t=4.82, 5.60,7.41,3.23;P＜0.01). Conclusions? The nursing team led multidisciplinary cooperative intervention can improve the cognitive function and quality of life in the patients after ischemic stroke and accelerate postoperative recovery forming a virtuous circle.
