摘要目的 探讨以护理为中心的手机APP平台在脑卒中认知功能障碍患者康复训练中的应用效果,为其临床推广提供理论基础.方法 采用便利抽样法,选取首都医科大学附属北京友谊医院2012年12月—2014年12月收治的脑卒中认知功能障碍患者204例,按随机数字表法分为观察组和对照组,各102例.对照组采用常规口服药物治疗和常规康复训练,观察组在此基础上,采用以护理为中心的手机APP平台服务系统辅助康复训练.分别于治疗前、出院时、干预3、12个月后以简易精神状态量表(MMSE)、蒙特利尔认知评估量表(MoCA)及改良Barthel指数评估患者康复疗效及日常生活活动能力.结果 两组MMSE、MoCA及改良Barthel指数得分的时间主效应、干预主效应、干预与时间之间的交互作用差异均有统计学意义(P<0.05).结论 以护理为中心的手机APP服务平台能够改善脑卒中后认知功能障碍患者的认知功能,提高患者日常生活活动能力,具有一定的临床推广价值.

abstractsObjective To explore the application effects of nursing centered mobile APP service platform in the rehabilitation of cognitive dysfunction patients after cerebral stroke, so as to provide a theoretical basis for its clinical promotion. Methods A total of 204 patients with cognitive impairment after cerebral stroke in Beijing Friendship Hospital Affiliated to the Capital Medical University from December 2012 to December 2014 were selected by convenience sampling method, and randomly divided into control group and observation group, with 102 cases in each. The control group was treated with conventional oral medication and routine rehabilitation training. On the basis of the treatment of the control group, nursing centered mobile APP service platform was applied in the observation group. The Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment (MoCA) were used to evaluated the patients' outcome of rehabilitation and daily living activity at the time points of before treatment, discharge, the 3rd month and 12th month after the intervention. Results The interaction differences of the main effect of time, the main effect of intervention, intervention and time among the score of MMSE, MoCA and modified Barthel index were statistically significant (P<0.05). Conclusions The nursing centered APP mobile service platform can improve the patients' cognitive function after stroke and the ability of daily activities, with a certain degree of clinical promotion value.