Cognitive Rehabilitation Interventions On Cognitive Deficits In Patients With Stroke In Community-based Rehabilitation

ObjectiveTo investigate the effect of cognitive rehabilitation interventions on cognitive deficits in patients with stroke in community so as to provide evidences for community-based cognitive rehabilitation intervention.MethodNinty-two inpatients with cognitive deficits following stroke in community were randomly divided into two groups, cognitive interfere group and control group. Both groups received regulation community-based rehabilitation, which cognitive interfere group received intervention therapy based on. NCSE, FCA and BI were conducted between two groups for cognition function, motor function and activities of daily living respectively. T-test of independent sampler was used to analysis all the scores of the two groups.ResultsThe result scores of each item in NCSE of the tow groups (course of disease less than 18 months)between pretherapy and post-treatment was significant different (P<0.05). The patients's ability of direction location,language rehearsal and spatial structure ,which's course more than 3 month in the control group,were improved at some extent after community-based rehabilitation training. The patients more than 3 month in the interfere group's scores of NCSE with each item had significant difference (P<0.05) after cognitive rehabilitation and community-based rehabilitation training. The patients less than 3 month in the interfere group and control group's scores of NCSE with each item had significant difference (P<0.05) after therapy. There were significant difference between interfere group and control group of the score of NCSE ,FCA scale and MBI. The significant difference also displaid between pretherapy and post-treatment in cognitive interfere group.ConclusionCognitive intervention not only improved cognitive deficits following stroke in community, but also enhanced recovery of motor function and ADL.