老年轻度认知障碍患者的尊严疗法干预  

Effects of dignity therapy on elderly patients with mild cognitive impairment

作　　者：陈丹[1] 杨春[2] Chen Dan;Yang Chun(Department of Neurology,People's Hospital of Jingmen,Jingmen 448000,China)

机构地区：[1]荆门市第一人民医院神经内科,湖北荆门448000 [2]荆门市第一人民医院护理部,湖北荆门448000

出　　处：《护理学杂志》2019年第11期68-71,共4页Journal of Nursing Science

基　　金：2018年荆门市一般科技项目(2018YFYB029)

摘　　要：目的探讨尊严疗法干预在老年轻度认知障碍患者的应用效果。方法采用便利抽样法,选取92例老年轻度认知障碍患者作为研究对象,将其随机分为干预组和对照组各46例,对照组实施常规护理,干预组实施尊严疗法干预。干预前及干预后2周使用患者尊严量表、医院焦虑抑郁量表、蒙特利尔认知评估量评估效果。结果干预组干预后的尊严及认知功能得分显著优于对照组,焦虑、抑郁得分显著低于对照组(P<0.05,P<0.01)。结论尊严疗法干预可降低老年轻度认知障碍患者尊严受损程度,减轻其焦虑抑郁情绪,提高其认知能力。Objective To explore the effect of dignity therapy on patients with mild cognitive impairment(MCI).Methods By conve-nience sampling method, 92 MCI patients were selected and evenly randomized into 2 groups :the control group received routine care, while the intervention group received dignity therapy.Patients were measured with the Patient Dignity Inventory(PDI), the Hospital Anxiety and Depression Scale(HADS), and the Montreal-Cognitive Assessment(MoCA) scale at baseline, and 2 weeks into the intervention.Results After the intervention, the intervention group had higher dignity and cognitive scores, and lower an-xiety and depression scores, than the controls(P<0.05,P<0.01).Conclusion Dignity therapy could reduce the degree of dignity damage, anxiety and depression levels in MCI patients, and improve their cognitive function.

关 键 词：轻度认知障碍 尊严疗法 护理干预 访谈 随访 焦虑 抑郁 认知能力 

分 类 号：R473.5[医药卫生—护理学]