认知障碍分级管理及干预在养老机构老年认知障碍患者中的应用效果  

Application effect of hierarchical management and intervention of cognitive impairment in elderly patients with cognitive impairment in nursing homes

作　　者：鲍丽 李晨虎[1] 张红[1] BAO Li;LI Chenhu;ZHANG Hong(Shanghai Xuhui District Mental Health Center,Shanghai 200232,China)

机构地区：[1]上海市徐汇区精神卫生中心,上海200232

出　　处：《临床医学研究与实践》2024年第5期59-62,共4页Clinical Research and Practice

基　　金：上海市徐汇区科委面上项目(No.SHXH201916)。

摘　　要：目的 探究认知障碍分级管理及干预在养老机构老年认知障碍患者中的应用效果。方法 选取徐汇区4家公办养老机构的330例老年认知障碍患者为研究对象,采用抽签法将完成随访评估的患者分为对照组(n=156)和观察组(n=148)。对照组实施常规护理和药物治疗、一般健康管理,观察组实施认知障碍分级管理及干预。于2020年9月至12月对其进行干预前评估,2021年9月至12月进行干预后评估,比较两组的干预效果。结果 干预后,观察组的蒙特利尔认知评测量表(MoCA)评分高于对照组,日常生活活动能力量表(ADL)、Zarit照护负担量表评分低于对照组(P<0.05)。干预后,观察组的生理功能、生理职能、总体健康、躯体疼痛、生命活力、心理健康、情感职能评分高于对照组(P<0.05)。结论 认知障碍分级管理及干预有助于改善养老机构老年认知障碍患者的认知功能,提高日常生活能力及生活质量,减轻照护者的照护负担。Objective To explore the application effect of hierarchical management and intervention of cognitive impairment in elderly patients with cognitive impairment in nursing homes.Methods A total of 330 elderly patients with cognitive impairment from 4 public pension institutions in Xuhui district were selected as the research objects.The patients who completed the follow up and evaluation were divided into control group(n=156)and observation group(n=148)by drawing lots.The control group was given routine nursing,drug treatment and general health management,while the observation group was given hierarchical management and intervention of cognitive impairment.The patients were evaluated before intervention from September to December 2020 and after intervention from September to December 2021.The intervention effects of the two groups were compared.Results After intervention,the Montreal Cognitive Assessment(MoCA)score of the observation group was higher than that of the control group,and the Activities of Daily Living Scale(ADL)and Zarit care burden scale scores were lower than those of the control group(P<0.05).After intervention,the scores of physiological functioning,role-physical,general health,bodily pain,vitality,mental health and role-emotional in the observation group were higher than those in the control group(P<0.05).Conclusion Hierarchical management and intervention of cognitive impairment can help improve the cognitive function of elderly patients with cognitive impairment in nursing homes,improve daily living ability and quality of life,and reduce the care burden of caregivers.

关 键 词：养老机构 认知障碍 分级管理及干预 

分 类 号：R749.16[医药卫生—神经病学与精神病学]