Effect of early cognitive rehabilitation nursing on patients with post-stroke cognitive impairment

Abstract

Objective To evaluate the effect of early cognitive rehabilitation nursing on patients with post-stroke cognitive impairment.Methods Sixty patients who initially diagnosed as ischemic stroke were randomly divided into experimental group and control group.All of them received routine nursing after admission.In addition,the patients in the experimental group received cognitive rehabilitation nursing for two weeks.The patients were measured with Functional Independence Measure (FIM) and Self-Rating Depression Scale (SDS) before and after intervention to measure the condition of their body and psychology,cognition and independent living.Results There was no significant difference in the scores of FIM and SDS between the two groups before intervention (P ＞ 0.05).However,after intervention,in the experimental group,all scores of FIM were significantly higher than before,and all scores of SDS were dramatically lower than before (P ＜0.05).In the control group,only some scores except those of movement,communication,social cognition and psychological symptoms in depression were significantly better than before (P ＜ 0.05).Compared with control group,the majority of scores of experimental group were significantly better than those of before intervention (P ＜0.05),but those of shift,movement and communication were no significant difference (P ＞ 0.05).Conclusions Early cognitive rehabilitation nursing can improve stroke survivors recover in their condition of body and psychology,cognition and independent living,consequently prevent the progressing of PSCI in very great degree. Key words: Stroke ; Cognitive impairment; Depression ; Rehabilitation nursing; Functional independence measure