At present, a limited amount of information exists on the association between cognitive reserve and cognitive impairment in stroke populations. To determine predictors of cognitive reserve among stroke patients, 80 stroke patients attending the neurological and rehabilitation clinic in two different Malaysian general hospitals participated in this study. The Malay Cognitive Reserve Index questionnaire (CRIq-M), Depression Anxiety and Stress Scales-Short Form (DASS-21), WHO Quality of Life assessment BREF-21 (WHO-QOL BREF-21), Montreal Cognitive Assessment (MoCA), and modified Rankin Scale (mRS) were used as instruments in this study. The study found that cognitive reserve (CRIq-M) is positively correlated with cognitive function (MoCA), r = 0.529, p < .01. Multiregression showed that education was a significant predictor of cognitive impairment whereas cognitive impairment as assessed by the MoCA is a significant predictor for cognitive reserve in people with stroke. Early identification of cognitive impairment among stroke patients is important so that effective individual rehabilitation can be designed to enhance individual cognitive reserve and quality of life.

中文翻译：

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脑卒中患者的认知储备

目前，关于中风人群认知储备与认知障碍之间关联的信息有限。为了确定中风患者认知储备的预测因素，在马来西亚两家不同综合医院的神经和康复诊所就诊的 80 名中风患者参与了这项研究。马来认知储备指数问卷 (CRIq-M)、抑郁焦虑和压力量表-简表 (DASS-21)、WHO 生活质量评估 BREF-21 (WHO-QOL BREF-21)、蒙特利尔认知评估 (MoCA)、和改良的 Rankin 量表 (mRS) 被用作本研究的工具。研究发现认知储备（CRIq-M）与认知功能（MoCA）呈正相关，r =0.529，p < .01。多重回归表明，教育是认知障碍的重要预测因素，而 MoCA 评估的认知障碍是中风患者认知储备的重要预测因素。早期识别中风患者的认知障碍很重要，因此可以设计有效的个体康复来提高个体认知储备和生活质量。