脑损伤后记忆障碍训练软件的编制及临床运用研究

发布时间：2018-05-08 21:16

  本文选题：脑损伤 + 记忆障碍训练软件　； 参考：《昆明医科大学》2015年硕士论文

【摘要】：[目的]应用昆明医科大学第二附属医院康复医学部编制的记忆障碍训练软件(2014版)治疗脑损伤后记忆障碍的患者,探讨该记忆障碍训练软件在脑损伤患者记忆功能恢复中的作用及对日常生活活动能力(activity daily living,ADL)的影响,进一步完善该套训练软件的设计与操作,为在临床的推广应用提供理论依据。[方法]1.在我科2012年编制的注意障碍训练软件的基础上,进行进一步软件开发,根据日常生活相关内容自主编制具有个体化和地域特点的便携式记忆障碍训练软件系统。2.脑损伤患者通过MMSE和MoCA量表评估,筛查后评定为记忆功能障碍的患者,随机分成训练组和对照组,治疗组进行记忆障碍训练软件的治疗,给予视觉和听觉的刺激,对照组由作业治疗师给予间隔检索、线索消除等记忆障碍训练,两组患者都接受物理治疗,作业治疗,理疗等。3.分别于入组时、训练第4周时采用MMSE记忆功能评定,MoCA延迟记忆评定,Rivermead行为记忆量表-II和改良Barthel指数量表对2组患者的记忆功能和日常生活活动能力(ADL)进行评估。4.研究数据用均值±标准差表示,进行卡方检验,t检验等统计学分析。[结果]1.治疗组和对照组在入组时MMSE记忆评分、MOCA延迟回忆评分,Rivermead行为记忆量表-II评分,MOCA其他认知评分和改良Bathel指数评分比较差异无统计学意义(P0.05)。2.MMSE记忆评分和MOCA延迟回忆评分统计检验结果相同,组间比较,在训练第4周时两组评分比较有统计学差异(P0.05),即治疗组评分高于对照组；组内比较,治疗组和对照组训练前后评分比较均有统计学差异(P0.05),即两组评分均有提高。3.Rivermead行为记忆量表-Ⅱ评分,组间比较,在训练第4周时两组评分比较有统计学差异(P0.05),即治疗组评分高于对照组；组内比较,治疗组训练前后评分比较有统计学差异(P0.05),,对照组训练前后评分比较无统计学差异(P0.05,),即治疗组训练后得分有明显提高,对照组训练后得分无明显改变。4.MOCA其他认知功能评分,组间比较,在训练第4周时两组评分比较有统计学差异(P0.05),即治疗组评分高于对照组；组内比较,治疗组和对照组训练前后评分比较无统计学差异(P0.05),,即两组评分训练前后均无明显改变。5.改良Bathel指数评分,组间比较,在训练第4周时两组评分比较有统计学差异(P0.05),即治疗组评分高于对照组；组内比较,治疗组和对照组训练前后评分比较均有统计学差异(P0.05),即两组评分均有提高。[结论]1.该记忆障碍训练软件设计合理、操作简单方便,融入日常生活训练场景具有创新性。2.针对脑损伤后记忆障碍的患者,该软件可以改善患者的记忆功能,特别是延迟回忆和日常生活记忆功能,以及患者的日常生活活动能力(ADL)。3.该记忆障碍训练软件对患者的其他认知功能改善不明显,需进行针对性的认知训练。
[Abstract]:[objective] to treat the patients with memory impairment after brain injury by using the memory disorder training software developed by the Department of Rehabilitation Medicine of the second affiliated Hospital of Kunming Medical University. To explore the effect of the memory disorder training software on the recovery of memory function in the patients with brain injury and its influence on the activity of daily life (ADL), and to improve the design and operation of the software. To provide theoretical basis for clinical application. [methods] 1. On the basis of the attention disorder training software developed by our department in 2012, the author develops further software, and develops the portable memory impairment training software system .2. according to the relevant contents of daily life, which has individualized and geographical characteristics. The patients with brain injury were assessed by MMSE and MoCA. The patients with memory impairment were randomly divided into two groups: the training group and the control group. The patients in the treatment group were treated with memory impairment training software and were given visual and auditory stimulation. The control group was trained by occupational therapists for memory disorders such as interval retrieval, cues elimination and so on. The patients in both groups received physical therapy, occupational therapy, physiotherapy, etc. At the fourth week of training, the MMSE memory function assessment was used to evaluate the memory function and ADL of the patients in the two groups by using the Rivermead Behavioral memory scale (-II) and the modified Barthel Index (modified Barthel Index). The data were expressed as mean 卤standard deviation, and chi-square test and t test were used for statistical analysis. [result] 1. MMSE memory scores and delayed recall scores in the treatment group and the control group, there was no significant difference in other cognitive scores and modified Bathel index scores between the treatment group and the control group. 2. MMSE memory score and MOCA delayed recall score were not significantly different from those of the other cognitive scores and modified Bathel index scores. The results of the statistical tests are the same. There was significant difference between the two groups at the 4th week of training, that is, the score of the treatment group was higher than that of the control group, and the score of the treatment group was higher than that of the control group. There were significant differences in scores before and after training between the treatment group and the control group (P 0.05). That is to say, the scores of the two groups were improved. 3. The Rivermead behavior memory scale 鈪，

本文编号：1863068