老年认知障碍合并高血压患者应用基于遗忘曲线的干预效果  

Effect of intervention based on forgetting curve in elderly patients with cognitive impairment and hypertension

作　　者：廖吉平 朱少娟[1] 金秀莲 汪小蓉 LIAO Ji-ping;ZHU Shao-juan;JIN Xiu-lian;WANG Xiao-rong(Department of Psychiatry,the Fourth People's Hospital of Shantou,Shantou 515021;Department of Endocrinology and Metabolism division,Shantou Traditional Chinese Medicine Hospital,Shantou 515300,Guangdong,China)

机构地区：[1]汕头市第四人民医院精神科,广东汕头515021 [2]汕头市中医院内分泌代谢病科,广东汕头515300

出　　处：《川北医学院学报》2022年第12期1641-1643,共3页Journal of North Sichuan Medical College

基　　金：广东省汕头市科技计划医疗卫生类别项目(191030115264212)。

摘　　要：目的:探讨老年认知功能障碍合并高血压患者应用基于遗忘曲线的干预效果。方法:选取106例老年认知障碍合并高血压患者为研究对象,根据干预措施不同分为对照组与观察组,每组各53例。对照组患者采用常规护理干预,观察组患者在对照组患者基础上采用基于遗忘曲线的慢性病管理模式进行干预,干预时间均为两个月。比较两组患者干预前、干预两个月后收缩压(SBP)、舒张压(DBP)、蒙特利尔认知评估量表(MoCA)评分、简易精神状态检查量表(MMSE)评分、日常生活功能量表(ADL)评分。结果:干预后,观察组患者SBP、DBP水平低于对照组(P<0.05);MoCA、MMSE、ADL评分高于对照组(P<0.05)。结论:应用基于遗忘曲线的干预能有效降低老年认知功能障碍合并高血压患者的血压水平,提高MoCA、MMSE评分,改善生活质量。Objective:To explore the effect of intervention based on forgetting curve in elderly patients with cognitive dysfunction complicated with hypertension.Methods:106 elderly patients with cognitive impairment and hypertension were selected as the research objects,they were divided into control group and observation group according to the different intervention measures,with 53 cases in each group.The patients in control group received conventional nursing intervention,patients in observation group were treated with chronic disease management model based on forgetting curve on the basis of the patients in the control group.Both groups of patients received nursing intervention for 2 consecutive months.The changes of systolic blood pressure(SBP),diastolic blood pressure(DBP),montreal cognitive assessment scale(MoCA),mini-mental state examination(MMSE)and activity of daily life(ADL)scores were compared between the two groups before and 2 months after intervention.Results:After the intervention,the SBP and DBP levels of the observation group were lower than those of the control group(P<0.05).The MoCA,MMSE scores,and ADL scores of the observation group were higher than those of the control group(P<0.05).Conclusion:The application of forgetting curve based intervention can effectively reduce the blood pressure level of elderly patients with cognitive dysfunction and hypertension,improve MoCA and MMSE scores,and improve quality of life in elderly patients with hypertension complicated with cognitive dysfunction.

关 键 词：认知障碍 老年高血压 遗忘曲线 蒙特利尔认知评估量表 简易精神状态检查量表 日常生活功能量表 

分 类 号：R749.1[医药卫生—神经病学与精神病学]