不同护理干预方法对糖尿病轻度认知障碍患者的影响  

Influence of different nursing intervention on diabetic patients with mild cognitive impairment

作　　者：梁晋萍[1] 周金华[1] 王谦[2] 

机构地区：[1]首都医科大学附属朝阳医院京西院区门诊治疗中心,北京100043 [2]北京中医药大学基础医学院,北京100029

出　　处：《中国医药导报》2013年第4期146-147,共2页China Medical Herald

基　　金：国家自然科学基金资助项目(项目编号:81072926)

摘　　要：目的探讨不同护理干预方法对糖尿病轻度认知障碍患者的应用效果。方法将62例2型糖尿病轻度认知障碍患者随机分成观察组与对照组,每组各31例,对照组实施常规护理干预,观察组实施常规护理干预+认知功能护理干预,两组患者干预后1个月进行蒙特利尔认知评估表(MoCA)、简易精神状态量表(MMSE)及日常生活能力量表(ADL)评分,检测空腹血糖、餐后2 h血糖、糖化血红蛋白,并进行比较。结果观察组MoCA、MMSE、ADL改善程度均优于对照组(P<0.01),血糖各项指标改善程度均优于对照组(P<0.05、P<0.01)。结论对糖尿病轻度认知障碍患者在常规护理干预的基础上实施认知功能护理干预,可显著提高患者的认知功能及日常生活能力,有助于血糖的控制,适合临床推广。Objective To explore the application effect on nursing intervention to different methods of diabetes pa- tients with mild cognitive impairment. Methods 62 patients with type 2 diabetes mellitus with mild cognitive impair- ment were divided into observation group and control group, each group had 31 cases. Control group was given con- ventional nursing intervention, the observation group was given conventional nursing intervention and cognitive func- tion nursing intervention, MoCA, MMSE and ADL rating scale, detection fasting blood glucose, postprandial 2 h blood glucose, glycosylated hemoglobin of patients of two groups after 1 month of intervention were compared. Results The improve degree of MoCA, MMSE and ADL in observation group were better than that of control group （P 〈 0.01）, and the improvement of the blood sugar each indexes were superior to the control group （P 〈 0.05, P 〈 0.01）. Conclusion Conventional nursing intervention is used in the diabetes patients with mild cognitive impairment on the basis of the implementation of the cognitive function nursing intervention can significantly improve their cognitive functions and daily life ability, which is helpful to the control of blood sugar, suitable for clinical promotion.

关 键 词：护理干预 2型糖尿病 认知障碍 

分 类 号：R473[医药卫生—护理学]