Citation: | LI Jing, WANG Lijun, WANG Yanyan. Application of cognitive rehabilitation training in virtual reality scenario combined with music therapy in treating patients with post-stroke cognitive impairment[J]. Journal of Clinical Medicine in Practice, 2024, 28(8): 123-126. DOI: 10.7619/jcmp.20240680 |
To observe the clinical effect of cognitive rehabilitation training in virtual reality scenario combined with music therapy in treating patients with post-stroke cognitive impairment.
A total of 106 patients with post-stroke cognitive impairment were selected as the research objects, and they were randomly divided into control group and observation group, with 53 cases in each group. The control group received routine rehabilitation nursing intervention, while the observation group received cognitive rehabilitation training in virtual reality scenario combined with music therapy on the basis of the control group. Changes in cognitive function, daily living ability, and quality of life were compared between the two groups before and after the intervention, and the satisfaction degree of the patients' family members to nursing was analyzed.
After the intervention, the Montreal Cognitive Assessment (MoCA) score and Barthel index score in both groups were significantly higher than those before intervention, and scores of MoCA and Barthel index in the observation group were also significantly higher than those in the control group (P < 0.05). After the intervention, the score of the Stroke Impact Scale (SIS) in both groups increased significantly, and the score of each dimension and the total score in the observation group were significantly higher than those in the control group (P < 0.05). The satisfaction degree of the patients' family members to nursing in the observation group was 98.1%, which was significantly higher than 86.8% in the control group (P < 0.05).
Virtual reality scenario cognitive rehabilitation training combined with music therapy is beneficial for improving cognitive function, daily living ability, and quality of life in patients with post-stroke cognitive impairment.
[1] |
林煜凡, 韦添元, 张晓颖, 等. 音乐治疗对脑卒中后认知障碍的效果[J]. 中国康复理论与实践, 2023, 29(6): 714-719. https://www.cnki.com.cn/Article/CJFDTOTAL-ZKLS202306013.htm
|
[2] |
杨丽娜, 魏昌伟. 卒中后认知障碍的研究进展[J]. 北京医学, 2023, 45(5): 439-442. https://www.cnki.com.cn/Article/CJFDTOTAL-BJYX202305015.htm
|
[3] |
徐卫晓, 凤丽瑶, 罗建昌. 脑卒中认知功能障碍患者针刺项八穴联合认知功能康复训练[J]. 护理学杂志, 2022, 37(14): 50-52. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202214014.htm
|
[4] |
汪凯, 董强, 郁金泰, 等. 卒中后认知障碍管理专家共识2021[J]. 中国卒中杂志, 2021, 16(4): 376-389. https://www.cnki.com.cn/Article/CJFDTOTAL-ZUZH202104012.htm
|
[5] |
裴芳, 孟涛, 张凯旋, 等. 简易智能状态检查量表和蒙特利尔认知评估量表在老年人认知功能障碍筛查中的比较[J]. 中国药物与临床, 2020, 20(11): 1771-1774. https://www.cnki.com.cn/Article/CJFDTOTAL-YWLC202011003.htm
|
[6] |
吴炜, 倪波业, 施加加. 扩展Barthel指数在脑卒中患者中的信度与效度[J]. 中国康复理论与实践, 2021, 27(3): 261-268. https://www.cnki.com.cn/Article/CJFDTOTAL-ZKLS202103003.htm
|
[7] |
周小炫, 方云华, 陈善佳, 等. 健康调查简表和脑卒中影响量表在脑卒中康复临床中应用情况的调查分析[J]. 中国康复医学杂志, 2014, 29(5): 455-459. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGKF201405014.htm
|
[8] |
邹海云, 刘诏薄, 梁英华, 等. 纽卡斯尔病人对护理服务满意度量表在精神科住院患者中的应用[J]. 医学信息: 下旬刊, 2011, 24(3): 209-209.
|
[9] |
郑秀丽, 张小倩, 刘旭, 等. 认知训练联合人文护理对脑卒中认知功能障碍的干预效果分析[J]. 中国基层医药, 2021, 28(7): 1110-1113. doi: 10.3760/cma.issn1008-6706.2021.07.034
|
[10] |
王鸿滨, 甄月阳, 郝习君, 等. 七步循环站立平衡训练联合Soundsory认知训练对脑卒中患者的康复效果[J]. 护理学杂志, 2023, 38(17): 108-111. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202317025.htm
|
[11] |
边继萍, 刘晓凤, 魏利荣, 等. 虚拟现实技术用于轻度认知障碍患者康复的Meta分析[J]. 护理学杂志, 2023, 38(21): 96-102. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202321022.htm
|
[12] |
赵雅洁, 胡慧秀, 孙超, 等. 认知训练在轻度认知功能障碍患者中应用的最佳证据总结[J]. 中华现代护理杂志, 2022, 28(31): 4302-4308.
|
[13] |
金募, 赵鑫, 何莹, 等. 非药物干预对脑卒中后认知障碍患者认知功能及日常生活活动能力影响的网状Meta分析[J]. 中国实用护理杂志, 2023, 39(30): 2394-2401.
|
[14] |
汪金宇, 程为平, 齐辉, 等. 音乐干预在脑损伤康复中的应用[J]. 中国康复, 2023, 38(11): 692-696. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLKF202311011.htm
|
[15] |
马锡超, 朱诗洁, 林洋, 等. 虚拟现实技术对脑卒中后认知功能障碍患者康复疗效的Meta分析[J]. 中国循证医学杂志, 2021, 21(8): 907-914. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZXZ202108006.htm
|
[16] |
洪梦琪, 李新科, 胡文奕. 音乐疗法联合经颅磁刺激对脑卒中后认知障碍患者认知功能及日常生活活动能力的疗效[J]. 中国康复医学杂志, 2023, 38(12): 1745-1748. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGKF202312026.htm
|
1. |
邹小翠,毛孝容,王利学,杨小娟,文青. 重症患者再喂养综合征发生率及影响因素的Meta分析. 中华护理杂志. 2024(21): 2640-2648 .
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