老年痴呆患者认知功能训练效果观察  

Effect Observation of the Senile Dementia Patients Treated with Cognitive Therapy

作　　者：梁月冰[1] 黎雪松[1] 邓瑞娟[1] 陈志锐[1] 伍丽华[1] 容倩华[1] 

机构地区：[1]佛山市第三人民医院,广东佛山528041

出　　处：《护理学报》2006年第11期1-3,共3页Journal of Nursing（China）

基　　金：佛山市卫生局立项课题(20063356)

摘　　要：目的探讨老年痴呆患者认知功能训练的效果。方法随机抽取80例轻、中度老年痴呆患者,进行12～14周的认知功能训练。采用简易智能状态量表(MMSE)、日常生活活动能力量表(ADL)评估,自身前后对照观察。结果训练4～6周后本组患者认知功能及生活自理能力有一定的进步,但MMSE分数与ADL分数改善不明显;训练12～14周后认知功能明显进步,2个量表分数显著改善(P<0.05或P<0.01)。结论早期、有计划、持续地对患者进行认知功能训练和生活自理干预,能延缓老年痴呆患者各器官功能的衰退,改善自理能力,提高患者生活质量。Objective To investigate the curative effect of cognitive therapy in the senile dementia patients, Methods 80 mild-tomoderate dementia patients were trained by cognitive therapy for 12～14 weeks. Assessment was made by using MMSE （mini-Mental state Examination） and ADL （Activity of Daily Living Scale） and self-compare was made. Results The patients＇ score of MMSE and ADL were not markedly improved after being trained for 4～6 weeks, but significantly improved after 12-14 weeks （P〈0.05 or P〈0.01）. Conclusion Early, planned and continuous cognitive therapy and independent self-care intervention can delay the aging of organs of dementia patients, improve their capacity of independent self-care and improve their life quality.

关 键 词：老年痴呆 认知功能治疗 生活自理能力 训练 

分 类 号：R743[医药卫生—神经病学与精神病学]