發(fā)布時(shí)間：2018-05-08 21:16

  本文選題：腦損傷 + 記憶障礙訓(xùn)練軟件��； 參考：《昆明醫(yī)科大學(xué)》2015年碩士論文

【摘要】：[目的]應(yīng)用昆明醫(yī)科大學(xué)第二附屬醫(yī)院康復(fù)醫(yī)學(xué)部編制的記憶障礙訓(xùn)練軟件(2014版)治療腦損傷后記憶障礙的患者,探討該記憶障礙訓(xùn)練軟件在腦損傷患者記憶功能恢復(fù)中的作用及對(duì)日常生活活動(dòng)能力(activity daily living,ADL)的影響,進(jìn)一步完善該套訓(xùn)練軟件的設(shè)計(jì)與操作,為在臨床的推廣應(yīng)用提供理論依據(jù)。[方法]1.在我科2012年編制的注意障礙訓(xùn)練軟件的基礎(chǔ)上,進(jìn)行進(jìn)一步軟件開發(fā),根據(jù)日常生活相關(guān)內(nèi)容自主編制具有個(gè)體化和地域特點(diǎn)的便攜式記憶障礙訓(xùn)練軟件系統(tǒng)。2.腦損傷患者通過MMSE和MoCA量表評(píng)估,篩查后評(píng)定為記憶功能障礙的患者,隨機(jī)分成訓(xùn)練組和對(duì)照組,治療組進(jìn)行記憶障礙訓(xùn)練軟件的治療,給予視覺和聽覺的刺激,對(duì)照組由作業(yè)治療師給予間隔檢索、線索消除等記憶障礙訓(xùn)練,兩組患者都接受物理治療,作業(yè)治療,理療等。3.分別于入組時(shí)、訓(xùn)練第4周時(shí)采用MMSE記憶功能評(píng)定,MoCA延遲記憶評(píng)定,Rivermead行為記憶量表-II和改良Barthel指數(shù)量表對(duì)2組患者的記憶功能和日常生活活動(dòng)能力(ADL)進(jìn)行評(píng)估。4.研究數(shù)據(jù)用均值±標(biāo)準(zhǔn)差表示,進(jìn)行卡方檢驗(yàn),t檢驗(yàn)等統(tǒng)計(jì)學(xué)分析。[結(jié)果]1.治療組和對(duì)照組在入組時(shí)MMSE記憶評(píng)分、MOCA延遲回憶評(píng)分,Rivermead行為記憶量表-II評(píng)分,MOCA其他認(rèn)知評(píng)分和改良Bathel指數(shù)評(píng)分比較差異無統(tǒng)計(jì)學(xué)意義(P0.05)。2.MMSE記憶評(píng)分和MOCA延遲回憶評(píng)分統(tǒng)計(jì)檢驗(yàn)結(jié)果相同,組間比較,在訓(xùn)練第4周時(shí)兩組評(píng)分比較有統(tǒng)計(jì)學(xué)差異(P0.05),即治療組評(píng)分高于對(duì)照組；組內(nèi)比較,治療組和對(duì)照組訓(xùn)練前后評(píng)分比較均有統(tǒng)計(jì)學(xué)差異(P0.05),即兩組評(píng)分均有提高。3.Rivermead行為記憶量表-Ⅱ評(píng)分,組間比較,在訓(xùn)練第4周時(shí)兩組評(píng)分比較有統(tǒng)計(jì)學(xué)差異(P0.05),即治療組評(píng)分高于對(duì)照組；組內(nèi)比較,治療組訓(xùn)練前后評(píng)分比較有統(tǒng)計(jì)學(xué)差異(P0.05),,對(duì)照組訓(xùn)練前后評(píng)分比較無統(tǒng)計(jì)學(xué)差異(P0.05,),即治療組訓(xùn)練后得分有明顯提高,對(duì)照組訓(xùn)練后得分無明顯改變。4.MOCA其他認(rèn)知功能評(píng)分,組間比較,在訓(xùn)練第4周時(shí)兩組評(píng)分比較有統(tǒng)計(jì)學(xué)差異(P0.05),即治療組評(píng)分高于對(duì)照組；組內(nèi)比較,治療組和對(duì)照組訓(xùn)練前后評(píng)分比較無統(tǒng)計(jì)學(xué)差異(P0.05),,即兩組評(píng)分訓(xùn)練前后均無明顯改變。5.改良Bathel指數(shù)評(píng)分,組間比較,在訓(xùn)練第4周時(shí)兩組評(píng)分比較有統(tǒng)計(jì)學(xué)差異(P0.05),即治療組評(píng)分高于對(duì)照組；組內(nèi)比較,治療組和對(duì)照組訓(xùn)練前后評(píng)分比較均有統(tǒng)計(jì)學(xué)差異(P0.05),即兩組評(píng)分均有提高。[結(jié)論]1.該記憶障礙訓(xùn)練軟件設(shè)計(jì)合理、操作簡單方便,融入日常生活訓(xùn)練場(chǎng)景具有創(chuàng)新性。2.針對(duì)腦損傷后記憶障礙的患者,該軟件可以改善患者的記憶功能,特別是延遲回憶和日常生活記憶功能,以及患者的日常生活活動(dòng)能力(ADL)。3.該記憶障礙訓(xùn)練軟件對(duì)患者的其他認(rèn)知功能改善不明顯,需進(jìn)行針對(duì)性的認(rèn)知訓(xùn)練。
[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 鹵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，

本文編號(hào)：1863068