认知功能训练对血管性痴呆患者认知功能和社会功能的影响  

The impact of cognitive and social functions of training on cognitive function in patients with vascular dementia

作　　者：刘莎娜[1] 李云霞[1] 

机构地区：[1]武汉科技大学附属孝感医院神经外科,孝感432100

出　　处：《临床护理杂志》2016年第3期14-17,共4页Journal of Clinical Nursing

摘　　要：目的探讨认知功能训练对血管性痴呆(VD)患者认知功能和社会功能的影响。方法 2014年1月~12月我科将84例VD患者,随机分为观察组和对照组,各42例。对照组给予常规护理。观察组给予认知功能训练,训练时间为6个月。分别于干预前、干预后1个月、3个月、6个月应用简易智力状态量表(MMSE)、临床痴呆量表(CDR)、韦氏记忆量表(WMS-RC)对两组认知功能进行评价,应用社会功能活动调查量表(FAQ)对两组社会功能进行评价,应用Fugl-Meyer运动功能量表(FMA)、日常生活能力量表(ADL)对两组运动功能、生活质量进行评价。结果两组干预后1个月、3个月、6个月MMSE评分、WMS-RC评分、FMA评分、ADL评分较干预前均显著提高(P<0.05),而FAQ评分、CDR评分较干预前降低(P<0.05)。观察组干预后1个月、3个月、6个月MMSE评分、WMS-RC评分、FMA评分、ADL评分均高于对照组(P<0.05),而FAQ评分、CDR评分低于对照组(P<0.05)。结论认知功能训练能有效改善VD患者认知功能及社会功能,提高患者日常生活能力,改善患者病情。Objective To investigate the impact of cognitive and social functions of training on cognitive function in pa- tients with vascular dementia. Methods 84 cases of patients with vascular dementia were randomly divided into observation group（n：42） and control group （n^42） from January 2014 to December 2014. The patients in the control group received with routine care, while received with cognitive function training for six months in observation group. The Mini--mental state Examination （MMSE）, clinical dementia Rating （CDR）, Wechsler memory scale （WMS--RC） on cognitive function, Social functional activities Questionnaire scale （FAQ） on the social function of the two groups to evaluate applications Fugl--Meyer motor function scale （FMA）, ADL on two motor function was evaluated before the intervention, after intervention 1 month,3 months,6 months. Results The levels of MMSE score, WMS--RC score, FMA score, ADL scores of two groups after the intervention 1 month, 3 months, 6 months were higher than before intervention （P〈0.05）, while the FAQ score,CDR score comparing intervention former decreased （P^Q. 05）. The levels of MMSE score, WMS-- RC score, FMA score, ADL scores of observation group after the intervention 1 month, 3 months, 6 months were higher than control groups （P〈0. 05）, and FAQ score,CDR score were lower than the control group （ P〈0. 05）. Conclusion The cognitive training can improve cognitive function and vascular dementia social function, enhance patients＇ daily life skills, improve the patient＇s condition.

关 键 词：认知训练 血管性痴呆 生活质量 

分 类 号：R749.16[医药卫生—神经病学与精神病学] R492[医药卫生—临床医学]