游戏式护理认知干预对2型糖尿病伴轻度认知功能障碍患者的影响  

Game-based cognitive intervention for mild cognitive impairment in type 2 diabetes mellitus patients

作　　者：王红岩[1] 迟英[1] 张美兰 韦锡娟 仇丽 王姣 刘玉琳 Wang Hongyan;Chi Ying;Zhang Meilan;Wei Xijuan;Qiu Li;Wang Jiao;Liu Yulin(Department of Endocrinology,The Shanghai Pudong New Area Gongli Hospital,Shanghai 200135,China)

机构地区：[1]上海市浦东新区公利医院内分泌科,上海200135

出　　处：《护理学杂志》2020年第12期27-30,共4页Journal of Nursing Science

基　　金：上海市卫生和计划生育委员会资助项目(201640401);上海市浦东新区卫生和计划生育委员会学科建设项目(PWZxk2017-10)。

摘　　要：目的探讨游戏式护理认知干预对2型糖尿病伴轻度认知功能障碍患者的影响。方法将2型糖尿病伴轻度认知功能障碍患者60例分为对照组和干预组各30例,对照组实行糖尿病常规护理干预,干预组实施基于游戏的护理认知干预,包括血糖跳棋游戏、图片再认与回忆、配对词组联想记忆、扑克分类与排序、反反反游戏、记训练日记。结果干预后,干预组认知功能评分、日常生活能力评分、低血糖认知评分、空腹血糖、餐后2h血糖、糖化血红蛋白水平显著优于对照组(P<0.05,P<0.01)。干预组患者护理满意度为93.33%,显著优于对照组的73.33%(P<0.05)。结论基于游戏的护理认知干预可显著改善2型糖尿病伴轻度认知功能障碍患者的认知状况,从而提高临床治疗效果及护理满意度。Objective To explore the effect game-based cognitive intervention on mild cognitive impairment in type 2 diabetes mellitus(T2DM)patients.Methods A total of 60 T2DM patients developing mild cognitive impairment were evenly divided into a control group,who received routine nursing care for diabetes mellitus,and an intervention group,who were subjected to game-based cognitive intervention,which included blood sugar style checkers,recognition and recall of pictures,associative learning and reciting of paired phrases,grouping and arranging the orders of poker cards,game of the opposite,and keeping diaries.Results After the intervention,there were significant differences in MoCA scores,ADL scores and hypoglycemia knowledge scores,fasting glucose,2h post-prandial glucose,and HbA1c between the 2 groups,with all the effect measures favoring the intervention group(P<0.05,P<0.01).Patient satisfaction rate with nursing service in the intervention group was 93.33%,significantly higher than 73.33%of the control group(P<0.05).Conclusion Game-based cognitive intervention could enhance the cognitive function of T2DM patients developing mild cognitive impairment,improve the effect of clinical therapy,and patient satisfaction with nursing service.

关 键 词：2型糖尿病 认知功能障碍 游戏 认知干预 血糖 日常生活能力 认知功能 

分 类 号：R473.5[医药卫生—护理学]