综合护理干预对轻度认知功能障碍老年患者认知功能和生活质量的影响  

Effects of comprehensive nursing intervention on cognitive function and quality of life of elderly patients with mild cognitive impairment

作　　者：王昳丽[1] 戴翠娴 姚志萍 倪英[1] Wang Yili;Dai Cuixian;Yao Zhiping;Ni Ying(Department of Geriatrics,Huashan Hospital,Fudan University,Shanghai,200042,P.R.China)

机构地区：[1]复旦大学附属华山医院老年医学科,上海200042

出　　处：《老年医学与保健》2022年第6期1258-1261,共4页Geriatrics & Health Care

基　　金：上海市卫生健康委员会科研课题(202040089)。

摘　　要：目的 探讨综合护理干预对轻度认知功能障碍老年患者认知功能、生活质量的影响。方法 2020年1月—2022年1月,抽取复旦大学附属华山医院收治的100例老年轻度认知功能障碍患者展开临床研究分析,按照数字表法将老年患者随机分为试验组(n=50例)和对照组(n=50例),分别实施综合护理干预与常规护理干预,并采用简易智力状态检查量表(MMSE)、蒙特利尔认知评估量表(MoCA)、费城老年中心信心量表、生活质量调查问卷评估患者的认知功能、幸福感与生活质量,并采用统计学方法比较。结果 护理前,2组MMSE评分与MoCA评分差异均无统计学意义(P>0.05);护理1个月、 2个月、 3个月,试验组MMSE评分与MoCA评分均明显高于对照组(P<0.05)。护理前,2组的幸福感评分、生活质量评分差异均无统计学意义(P>0.05);护理3个月,试验组幸福感评分、生活质量评分均高于对照组(P<0.05)。结论 老年轻度认知功能障碍患者实施综合护理干预,可有效改善患者的认知功能,提升患者的幸福感与生活质量,具有一定的临床应用价值。Objective To explore the effects of comprehensive nursing intervention on cognitive function and quality of life of elderly patients with mild cognitive impairment. Methods From January 2020 to January 2022, 100 elderly patients with mild cognitive impairment admitted to Huashan Hospital Affiliated to Fudan University were selected for clinical research and analysis. They were randomly divided into experimental group(n=50) and control group(n=50) according to the numerical table method, and the comprehensive nursing intervention or routine nursing intervention were implemented, respectively, The cognitive function, happiness and quality of life of the patients were evaluated with the Mini-Mental State Examination(MMSE), Montreal Cognitive Assessment Scale(MoCA), Philadelphia Geriatric Center Confidence Scale, and Quality of Life Questionnaire, and were compared with statistical methods. Results There was no differences in MMSE score and MoCA score between the two groups before nursing(P>0.05). After 1, 2 and 3 months of nursing, MMSE score and MoCA score of the experimental group were significantly higher than those of the control group(P<0.05). There were no differences in the scores of happiness and quality of life between the two groups before nursing(P>0.05). The scores of happiness and quality of life of the experimental group after 3 months of nursing were higher than those of the control group(P<0.05). Conclusion The comprehensive nursing intervention for elderly patients with mild cognitive impairment can effectively improve their cognitive function, happiness and quality of life, and has certain clinical application value.

关 键 词：老年 轻度认知功能障碍 常规护理干预 综合护理干预 认知功能 幸福感 生活质量 

分 类 号：R473.74[医药卫生—护理学]