认知干预对阿尔茨海默病患者的认知功能障碍及生活质量的意义  

Effect of Improving the Cognitive Intervention on Cognitive Impairment and Quality of Life in the Patients with Alzheimer＇ s Disease

作　　者：韩蓓[1] 代林林[2] 李丽[2] 王影[2] 冯立明[2] 曲学华[2] 

机构地区：[1]哈尔滨医科大学附属第四医院门诊部,中国哈尔滨150000 [2]哈尔滨医科大学附属第四医院耳鼻喉科,中国哈尔滨150000

出　　处：《国际老年医学杂志》2017年第2期52-55,共4页International Journal of Geriatrics

基　　金：黑龙江省自然科学基金资助项目（D200903）

摘　　要：目的：探讨认知干预对阿尔茨海默病患者的认知功能障碍及生活质量的意义。方法：选择2012年1月～2016年1月在我院接受治疗的160例阿尔茨海默病患者，按照随机数字法分为实验组与对照组，每组各80例。对照组予以常规医护人员干预，实验组在对照组的基础上给予认知干预，比较两组患者生存质量、认知功能、运动功能及生活独立率。结果：干预后3个月、6个月后两组患者生存质量指标得分较干预前均有不同程度的提高，比较差异均有统计学意义（P〈0．05），并且实验组各指标显著优于对照组，比较差异均有统计学意义（P〈0．05）。干预后实验组认知功能及运动功能均显著优于对照组，比较差异均有统计学意义（P〈0．05）。实验组的独立率为80．00％显著优于对照组41．25％的独立率，比较差异有统计学意义（P〈0．05）。结论：认知干预能够帮助患者延缓病症的进一步发展，控制临床病症，减少对他人的依赖，减低肢体废用程度，提高运动功能，可有效改善阿尔茨海默病患者认知功能障碍及生活质量。OBJECTIVE： To explore the cognitive intervention on cognitive dysfunction and quality of life in the patients with Alzheimer＇ s disease. METHODS： From January 2012 to January 2016 in our hospital 160 patients with Alzheimer＇ s disease were divided into the experimental group （ n = 80） and control group （ n = 80）. The control group received routine nursing intervention and the experimental group received cognitive intervention on the basis of the control group. In two groups the quality of life, cognitive function, motor function and independent living rate. RESULTS： After the intervention of three months and six months the quality of life in the experimental group was better tnan that in the control group. There was statistically significant difference （ P 〈 0. 05 ）. After intervention, in the experimental group cognitive function and motor function were signigicantly better than those in the control group. There was statistically significant （ P 〈 0.05 ）. Independent rate （ 80. 00% ） in the experimental group was significantly better than that （41.25%） in the control group. There was statistically significant difference （P 〈0. 05）. CONCLUSION： The cognitive intervention can help the patients to delay the further development of the further development of the disorder, reduce the dependence on others, reduce the degree of limb disuse and improve motor function, which can effectively improve cognitive impairment in the patients with Alzheimer＇ s disease and quality of life.

关 键 词：认知干预 阿尔茨海默病 认知功能障碍 生活质量 

分 类 号：R749.16[医药卫生—神经病学与精神病学]