Intervention effect of positive reinforcement theory combined with rehabilitation training on hospitalized patients with vascular dementia
Objective To investigate the intervention effect of positive reinforcement theory combined with rehabilitation training on hospitalized patients with vascular dementia(VD).Methods A total of 131 VD patients who were hospitalized at Renji Hospital,Shanghai Jiao Tong University School of Medicine from June 2020 to June 2022 were enrolled.The patients were assigned into an experimental group(66 cases)and a control group(65 cases)by envelope randomization.The control group received rehabilitation training,while the experimental group received positive reinforcement theory combined with rehabilitation training.The cognitive function,psychological state,and quality of life of the two groups were compared before and after intervention.Results At discharge,the scores of the Self-Rating Depression Scale(SDS)and the Self-Rating Anxiety Scale(SAS)of both groups were lower than those before intervention,and the scores of the experimental group were lower than those of the control group,with statistical differences(all P<0.05).The various dimension scores and the total score of the Mini-Mental State Examination(MMSE)in both groups were higher than those before intervention,and the scores of the experimental group were higher than those of the control group,with statistical differences(all P<0.05).At 3 months after discharge,the various dimension scores and the total score of the World Health Organization Quality of Life Questionnaire(WHOQOL-BREF)in both groups were higher than those before intervention,and the scores of the experimental group were higher than those of the control group,with statistical differences(all P<0.05).Conclusion Positive reinforcement theory combined with rehabilitation training can improve the cognitive function of patients with VD,adjust their psychological state,and improve their quality of life.
vascular dementiapositive reinforcement theoryrehabilitation trainingcognitive functionquality of life