摘要
目的 观察护士主导的“八段锦”干预方案对颅脑损伤患者的认知障碍辅助治疗效果。方法 根据观察时间需求及病患入选标准，从TBI后认知障碍患者中筛选120例患者作为研究对象，分为对照组和实验组，每组60例。2组患者均给予常规药物治疗颅脑损伤和以护士为主导的非药物干预方案，观察组在此基础上辅以八段锦训练，干预后一周分别对2组患者认知功能、生活品质、抑郁、睡眠质量等进行评价，并于治疗结束后进行干预满意度问卷调查。结果发现2组患者简易智能状态评估量表(MMSE)评分、 QOLIBRI脑外伤后生活品质问卷、SDS抑郁自测量表、匹兹堡睡眠质量评估表（PSQI）均较治疗前明显改善(P＜0.05) ；并且干预后观察组患者MMSE、QOLIBRI、SDS及PSQI评分分别为[( 23.4±3.5)分、(104.62±8.36，31.75±5.15)分、（49.97±6.79 ）%和(7.17±2.71)分]亦显著优于对照组水平，组间差异均具有统计学意义(P＜0.05) ；另外观察组干预后满意度为85.0％，也明显优于对照组水平(P＜0.05)。两组患者干预前SF-36生活质量对比差异无法满足统计学含义（P＞0.05）。经干预后，观察组生活质量明显优于对照组（P＜0.05）。结论 在常规治疗颅脑损伤导致认知障碍患者基础上辅以八段锦干预方案能进一步改善患者病情及提高生活质量，其疗效明显优于仅以护士为主导的非药物干预方案，值得在颅脑损伤导致的认知障碍患者中推广、应用。
关键词： 认知障碍；非药物干预；八段锦；生活质量
Abstract
Objective To observe the effect of "Ba-duan-jin" intervention program led by nurses on cognitive impairment in patients with cerebration injury. Methods according to the observation time demand and patient inclusion criteria, 120 patients with cognitive impairment after TBI were selected as the research objects and divided into control group and experimental group, with 60 patients in each group. The patients in the two groups were given routine drug treatment for craniocerebral injury and nurse led non drug intervention program. On this basis, the observation group was supplemented with Ba-duan-jin training. One week after the intervention, the cognitive function, quality of life, depression and sleep quality of the patients in the two groups were evaluated, and the treatment satisfaction questionnaire was conducted after the treatment. The results showed that the scores of MMSE, QOLIBRI (post traumatic quality of life questionnaire), SDS (depression self-test and Pittsburgh Sleep Quality Assessment),PSQI in the two groups were significantly improved compared with those before treatment (P < 0.05); After treatment, the scores of MMSE, qolibri, SDS and PSQI in the observation group were [( 23.4±3.5)、( 104.62±8.36 ， 31.75±5.15)、（ 49.97±6.79 ）%and(7.17±2.71)]respectively, which were also significantly better than those in the control group (P < 0.05); In addition, the treatment satisfaction of the observation group was 85.0%, which was also significantly better than that of the control group (P < 0.05). Conclusion on the basis of routine treatment of patients with cognitive impairment caused by craniocerebral injury, Baduanjin intervention scheme can further improve the patient's condition and improve the quality of life. Its curative effect is significantly better than the non drug intervention scheme dominated by nurses. It is worthy to be popularized and applied in patients with cognitive impairment caused by craniocerebral injury.
Key words： Cognitive impairment; Non drug intervention; Ba-duan-jin; Quality of life
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