| Objective: To investigate the effects of tele-rehabilitation guidance based on the concept of enriched environment on the cognitive function, psychological and daily living ability in the non-dementia cognitive impairment residential stroke patients. Methods: Totally 68 patients with non-dementiacognitive impairment after stroke were randomly divided into the control group (33 cases) and the treatment group (35 cases) by using the random number table. The control group was given routine rehabilitation education before discharge and regular outpatient rehabilitation, the treatment group was added with tele-rehabilitation guidance based on the concept of enriched environment. Before and after discharge, patients were assessed with Montreal Cognitive Assessment Scale (MoCA), General Hospital Anxiety/Depression Scale (HADs) and Social Activity Function Questionnaire (FAQ), and the latency and amplitude of event-related potential P300 were recorded.Results: The MoCA scores of patients in the treatment group were significantly higher than those before discharge at the first month and the third month after discharge (all P<0.01), and the MoCA scores in the treatment group were higher than those in the control group at the same time point (all P<0.05). Three months after discharge, MoCA scores of patients in both groups were significantly higher than those in one month after discharge (P<0.01). HAD-A and HAD-D scores of patients in the treatment group were significantly lower than those before discharge (all P<0.01) at the first month and the third month after discharge, and HAD-A, HAD-D and FAQ scores of patients in the two groups were significantly lower than those one month after discharge (all P<0.01). One month after discharge, the FAQ score of the treatment group was significantly lower than that of the control group (P<0.05). Three months after discharge, the scores of HAD-A, HAD-D and FAQ in the treatment group were significantly lower than those in the control group (P<0.05). Three months after discharge, the latency and amplitude of P300 in the treatment group were significantly shorter (P<0.01) and larger (P<0.05) than those in the control group. Conclusion:Tele-rehabilitation guidance based on the concept of enriched environment can improve the cognitive function, anxiety and depression of patients with non-dementia cognitive impairment after stroke, and is beneficial to improve their instrumental activity of daily living. |
