Evaluation of cognitive assessment in stroke rehabilitation
Evaluation of cognitive assessment in stroke rehabilitation
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DOI：
10.1191/0269215502cr479oa
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发表时间：
2002-03-01
影响因子：
3
通讯作者：
Gladman, JFR
中科院分区：
文献类型：
--
作者：
McKinney, M;Blake, H;Gladman, JFR
目的：为了评估认知评估对中风患者的功能结局和患者及其照顾者的生活质量的影响，设计：一项多中心，单盲，随机对照试验。背景和参与者：从英国三个中心的医院病房招募了228名中风患者。干预措施：患者进行认知障碍筛查，并随机分配到常规护理组和非常规护理组。（116例患者）或常规护理加详细的认知评估（112例患者）。主要结果指标：招募后3个月和6个月，由一名对干预措施不知情的独立评估者对扩展ADL、认知障碍问卷、结果：两组患者的功能结局、认知能力、心理困扰程度和护理满意度无显著性差异。有一个趋势，评估组有较低水平的照顾者应变（p = 0.06）。结论：提供有关认知评估中风康复的信息，可能会减少照顾者的应变。
Objective: To assess the effect of cognitive assessment on the functional outcome of stroke patients and quality of life for both patients and their carers.Design: A multicentre, single-blind, randomized controlled trial. Setting and participants: Two hundred and twenty-eight stroke patients were recruited from hospital wards in three UK centres.Interventions: Patients were screened for cognitive impairment and randomly allocated to either routine care (116 patients) or routine care plus a detailed cognitive assessment (112 patients).Main outcome measures: Outcome was assessed three and six months after recruitment by an independent assessor blind to the intervention on Extended ADL, Cognitive Failures Questionnaire, General Health Questionnaire-28 for patients and carers and Carer Strain Index.Results: There was no significant difference between the two groups in patients' functional outcome, perceived cognitive ability, level of psychological distress or satisfaction with care. There was a trend for the assessment group to have lower levels of carer strain (p = 0.06).Conclusions: The provision of information about cognitive assessment in stroke rehabilitation may decrease carer strain.