连续护理干预对老年轻度认知障碍病人MMSE、ADL评分的影响  

Influence of continuing nursing intervention on MMSE and ADL score of the aged with mild cognitive impairment

作　　者：杨林[1] 王玲[1] 沈曼璇[1] 文月珍[2] 

机构地区：[1]北京大学深圳医院 [2]中山大学附属第一医院

出　　处：《全科护理》2015年第14期1264-1267,共4页Chinese General Practice Nursing

基　　金：深圳市科技计划项目;编号:JCYJ20140415162543016

摘　　要：[目的]探讨连续护理干预对老年轻度认知障碍(MCI)病人简易精神状态评价量表(MMSE)、日常生活能力量表(ADL)评分的影响。[方法]选择老年MCI病人40例并随机分为研究组和对照组各20例,在给予两组病人常规药物治疗和护理指导的情况下,研究组实施连续护理干预,并在入院时、住院第4周末对两组病人进行认知功能评价,评价采用MMSE量表、ADL量表。[结果]入院当天,两组病人MMSE、ADL评分差异无统计学意义(P>0.05);住院第4周末,研究组MMSE、ADL评分明显高于对照组,差异有统计学意义(P<0.001);研究组连续护理干预后与自身入院时比较,MMSE、ADL评分差异有统计学意义(P<0.001)。[结论]连续护理干预对老年MCI病人是一项行之有效的方案,能够改善病人的认知能力和日常生活能力,并提高其生活质量。Objective：To probe into the influence of continuing nursing intervention on the Mini Mental State Examination （MMSE）score and Activities of daily living （ADL）score of the aged with mild cognitive impair-ment （MCI）.Methods：A total of 40 old patients with MCI were randomly divided into study group and control group,20 cases in each.The patients in control group received routine medication treatment and nursing guil-dance.The patients in study group were given continuing nursing intervention based on routine treatment and nursing.Both groups of patients were evaluated by MMSE scores and ADL scores of cognitive function on ad-mission and after 4 weeks of intervention.Results：There was no significant difference in MMSE score and ADL score on admission （P 〉0.05）;the total MMSE score and ADL score in study group were higher than that in control group after 4 weeks of intervention （P 〈0.001）.There was statistically significant difference in MMSE score and ADL score between after continuous nursing intervention and on their own admission （P 〈0.001 ）. Conclusion：Continuing nursing intervention is a effective plan for old patients with MCI,which can improve the cognitive abilities and activities of daily life of them.

关 键 词：轻度认知障碍 连续护理干预 简易精神状态评价量表 日常生活能力量表 

分 类 号：R473.74[医药卫生—护理学]