中国健康心理学杂志2026，Vol.34Issue(7)：980-986,7.DOI:10.13342/j.cnki.cjhp.2026.07.004
听觉注意力—执行训练对脑外伤后认知障碍及心理状态的疗效
Effect of auditory attention—execution training on cognitive impairment and psychological state after traumatic brain injury
摘要
Abstract
Objective:To investigate the clinical effect of auditory attention-execution training on cognitive impair-ment and psychological state after traumatic brain injury.Methods:A total of 76 patients with cognitive dysfunction after traumatic brain injury in our hospital from January 2024 to December 2024 were selected and divided into a control group and an observation group by random number table method,with 38 cases in each group.The control group received routine training:Transcranial direct current stimulation,attention training,executive function training and memory training.The observation group was given transcranial direct current stimulation,auditory attention-execution training and memory training.All patients were assessed by double-blind using the Mini-Mental State Examination(MMSE),Montreal Cognitive Assessment(MOCA),Modified Barthel Index(MBI),Digit Span Test(DST),Trail-Making Test(TMT),Revised Wechsler Memory Scale(WMS-RC),Hamilton Anxiety Scale(HA-MA),and Hamilton Depression Scale(HAMD)before treatment and after 6 weeks treatment,in order to compare the cognitive and psychological status of the 2 groups.Results:Before intervention,there were no significant differences between the 2 groups in any of the assessment(P＞0.05).After treatment,the MMSE,MoCA,MBI,DST,TMT,WMS-RC,HAMA,HAMD scores of all 2 groups were better than before treatment(Z=5.272,4.576,4.424,5.246,4.613,-5.379,-4.940,-4.619,5.184,t=-12.120,-6.372,-5.957;Z=5.387,5.169,5.430,5.472,5.397,-5.375,-5.136,-5.275,5.376,t=-12.549,-9.578,-7.506;P＜0.001).Moreover,the MMSE,MoCA,MBI,DST,TMT,WMS-RC,HAMA,HAMD score changes of observation group were better than those of control group,and the differ-ence was statistically significant(Z=4.264,-4.91,3.420,4.684,3.347,-2.340,-2.803,-5.008,3.255;t=2.325,2.323,2.267;P＜0.05).Conclusion:Auditory attention-executive training can effectively improve the cognitive impairment and psychological state of patients with traumatic brain injury.关键词
听觉注意力—执行训练/脑外伤/认知障碍/心理状态/注意力/执行功能/记忆力Key words
Auditory attention-executive training/Traumatic brain injury/Cognitive impairment/Psychological state/Attention/Executive function/Memory分类
医药卫生引用本文复制引用
蒋海燕,汤秀云,鞠婷婷,宋玉芳,潘泽曦,胡啸龙,阳庆军,李艳平..听觉注意力—执行训练对脑外伤后认知障碍及心理状态的疗效[J].中国健康心理学杂志,2026,34(7):980-986,7.基金项目
湖南省自然科学基金(编号:2024JJ9127) （编号:2024JJ9127）
湖南省自然科学基金(编号:2026JJ81583) （编号:2026JJ81583）
湖南省卫生健康委科研计划项目(编号:D202316009068) （编号:D202316009068）
