Effect Of Self-regulated Learning On The Generalization Ability Of Patients With Post-stroke Cognitive Impairment

Objective:To observe the effect of self-regulated learning on the generalization ability of patients with Post-Stroke Cognitive Impairment(PSCI),and to provide a scientific method for improving the independence of daily life and returning to society.Methods:According to the inclusion and exclusion criteria,50 eligible PSCI patients were recruited and randomly divided into self-regulated learning group and errorless learning group with 25 persons in each group,both groups received basic activity of daily living in the first week of intervention.From the second week,self-regulated learning group used self-regulated learning to study 10 daily life tasks,while the errorless learning group used errorless learning to study these 10 daily life tasks.Training time was 60 min/day,once/day,5 days/week,total 3 weeks.The score of performance of five untrained daily life tasks(Cook rice with steamed fish,put clothes on hanger,use the telephone,go to the canteen,clean the bathroom)was used to assess the patient's generalization ability after intervention.Before and after intervention,the score of performance of five daily life tasks(wash the dishes,make the bed,prepare fruit,take medication,sweep the floor)was used to evaluate patients' ability of relearning,MBI and IADL was used to evaluate ability of activities of daily life,simplified Fugl-Meyer assessment was used to evaluate motor function,MoCA was used to evaluate overall cognitive function.After intervention,two independent samples t test or two independent sample rank sum test was used to compare the outcome measurements between two groups to determine whether the intervention was effective or not.All data were analyzed by SPSS 23.0 software.The statistical test was carried out on both sides.If P value was less than or equal to 0.05,the difference was statistically significant.Results:1.Before intervention,there was no significant difference in demographic data such as age,sex,years of education etc and outcome measurements such as the score of performance of five daily tasks,MBI and IADL,FMA etc(P>0.05).2.After intervention,the score of performance of five untrained daily tasks in self-regulated learning group were higher than those in errorless learning group,the difference was statistically significant(P<0.05).3.After intervention,the score of performance of five daily tasks and MoCA in self-regulated learning group was higher than that in errorless learning group,the difference was statistically significant(P<0.05).Conclusions:1.Compared with errorless learning,self-regulated learning could promote the generalization ability of patients with Post-Stroke Cognitive Impairment at the level of task performance.2.Self-regulated learning could improve the relearning ability and overall cognitive function of patients with Post-Stroke Cognitive Impairment,its effect was better than errorless learning.