Efficacy study of using group-based training in the elderly with post-stroke cognitive impairment / 中风与神经疾病杂志

ABSTRACT

@#To explore the efficacy of group cognitive intervention on elderly patients with post-stroke cognitive impairment（PSCI）comparing with one-to-one mode.Methods In this prospective study，64 patients with PSCI were selected from inpatients and outpatients in our hospital from September 2019 to March 2021，and were randomly divided into the experimental group and control group，32 in each group.The patients in experimental group were allocated rehabilitation subgroups according to the degree of cognitive impairment，and received the group cognitive intervention，and we started reward mechanism regularly.The control group received the one-to-one mode for cognitive intervention，the intervention content and intensity were the same as the experimental group.The intervention time was 4 weeks.To evaluate the efficacy of the two intervention modes，mini-mental state examination （MMSE），modified Barthel index（MBI），Hamilton anxiety scale-14 （HAMA-14） and Hamilton depression scale-24 （HAMD-24） was compared between the two groups after cognitive intervention.Results After 4 weeks treatment，MMSE and MBI of the two groups all increased compared with baseline scores，and the differences were statistically significant （P<0.05）.However，there was no significant difference in MMSE and MBI between the two groups after treatment （P>0.05）.After treatment，the scores of language ability in the experimental group were higher than the control group （P<0.05），while the scores of attention and computation ability were lower than control group（P<0.05）.HAMA-14 and HAMD-24 scores of the two groups were all decreased after treatment （P<0.05），and the scores of the experimental group were lower than the control group （P<0.05）.Conclusion The effect of collective mode cognitive intervention was not worse than one-to-one mode，and collective mode could improve the language ability and improve the adverse mood better than one-to-one mode.