团体认知干预对社区MCI老人认知功能的影响  

The Effect on Mild Cognitive Impairment Elderly Patients in the Community by Group Cognitive Intervention

作　　者：范静波[1] 卢国华[1] 张莹莹[2] 何冰 杨增云[4] 张兰娥[1] 

机构地区：[1]潍坊医学院护理学院,山东省261053 [2]潍坊医学院心理教研室,山东省261053 [3]潍坊护理职业学院 [4]临沂市沂水中心医院

出　　处：《中国护理管理》2013年第11期70-72,共3页Chinese Nursing Management

基　　金：山东省自然科学基金资助项目(ZR2010HM042)

摘　　要：目的:探讨团体认知干预对社区轻度认知功能障碍(MCI)老人认知功能的影响。方法:将80例MCI老人随机分为干预组和对照组,干预组进行团体认知干预,每天60min,持续6个月,对照组不作任何干预。用蒙特利尔认知评估量表(MoCA)、简易精神状态量表(MMSE)、日常生活活动能力量表(ADL)评价干预效果。结果 :干预后,干预组MoCA、MMSE评分高于干预前及对照组,ADL评分低于干预前及对照组(P<0.05);干预后,干预组MoCA量表分项目中记忆力、注意力、视空间执行能力方面的分值高于对照组(P<0.05)。结论:团体认知干预可以改善社区MCI老人的认知功能状况。Objective：To explore the effect of group cognitive therapy on elderly with mild cognitive impairment （MCI） in the Community. Methods：Totally 80 elderly community residents with MCI were randomly divided into training groups and control groups.The elderly in control group received routine maintenance of living habits, while the objects in training group had been trained intensively by group cognitive therapy for 6 months, 60 minutes a day. The training effects were evaluated by Montreal Cognitive Assessment （MoCA）, Mini-Mental State Examination （MMSE） and Activity of Daily Living Scale （ADL）. Results：The scores of MoCA and MMSE in the training group were statistically higher than those of before training and control group six months later, while the ADL score was lower than before and control group （P〈0.05）. The scores of memory, attention and visuospatial abilities of MoCA in the training group were statistically higher than control group six months later （P〈0.05）. Conclusion：Group cognitive therapy could improve the cognitive ability of MCI.

关 键 词：团体认知干预 轻度认知功能障碍 认知功能 老年人 

分 类 号：R47[医药卫生—护理学]