Effectiveness of cognitive stimulation therapy for cognitive dysfunction of patients in acute stage with subarachnoid hemorrhage

Abstract

Objective To observe the effectiveness of cognitive stimulation therapy for cognitive dysfunction of patients in acute stage with subarachnoid hemorrhage. Methods 30 patients with aneurysmal subarachnoid hemorrhage at Hunt - Hess [Ⅰ～ Ⅱ were brought into the study, and were divided into two groups randomly. 15 patients who received cognitive stimulation therapy were brought into experimental group;the other 15 patients were control group. All the patients' cognitive function were assessed before endovascular treatment and 14 days after treatment respectively, by mini -mental state examination (MMSE), verbal fluency test, visual reproduction, and trail making test. Results(1)There was no significant difference between the two groups in gender,age and Hunt -Hess stage( P ＞0. 05). (2)There was no significant difference between the two groups in MMSE, verbal fluency test, visual reproduction and trail making test ( A and B ) before endovascular treatment ( P ＞ 0. 05 ) . ( 3 ) The cognitive function assessments after endovascular treatment of experimental group were better than those of control group in MMSE,verbal fluency test and trail making test( A and B) ( P ＜0. 05). There was no significant difference in the visual reproduction ( P ＞ 0. 05 ). Conclusion Cognitive stimulation therapy may help to improve patients' cognitive function partly in acute stage with subarachnoid hemorrhage. Key words: Subarachnoid hemorrhage; Cognitive function; Cognitive stimulation therapy