认知康复训练联合整体精细化护理干预对血管性痴呆患者认知功能、日常活动能力的影响  

Effects of Cognitive Rehabilitation Training Combined with Overall Refined Nursing Intervention on Cognitive Function and Daily Activity Ability of Patients with Vascular Dementia

作　　者：董瑶瑶 高娜 王娜娜[1] DONG Yaoyao;GAO Na;WANG Nana(Department of Neurology,Affiliated Hospital of Binzhou Medical College,Binzhou 256600,China)

机构地区：[1]滨州医学院附属医院神经内科,山东滨州256600

出　　处：《反射疗法与康复医学》2024年第22期176-179,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨认知康复训练联合整体精细化护理干预对血管性痴呆(VD)患者的影响。方法选取2022年1月—2023年8月滨州医学院附属医院收治的84例VD患者为研究对象,按随机数字表法分为对照组和观察组,每组42例。对照组采用整体化细节护理干预,观察组在对照组基础上进行认知康复训练干预,均持续干预1个月。对比两组患者的认知功能及日常生活能力。结果干预前,两组简易精神状态检查量表(MMSE)、功能独立性量表(FIM)及Barthel指数(BI)评分比较,组间差异无统计学意义(P>0.05);干预后,观察组MMSE、FIM及BI评分分别为(23.77±2.32)分、(78.82±8.16)分、(80.06±6.77)分,均高于对照组的(20.27±3.35)分、(71.57±10.45)分、(70.34±10.23)分,组间差异有统计学意义(P<0.05)。结论认知康复训练联合整体精细化护理能改善VD患者的认知功能,促进其日常活动能力恢复。Objective To explore the effect of cognitive rehabilitation training combined with overall refined nursing intervention in vascular dementia(VD)patients.Methods A total of 84 VD patients admitted to the Affiliated Hospital of Binzhou Medical College from January 2022 to August 2023 were selected as the research subjects,and they were divided into a control group and an observation group according to random number table method,with 42 cases in each group.The control group received overall refined nursing intervention,and the observation group received cognitive rehabilitation training intervention on the basis of the control group.The intervention lasted for 1 month in both groups.The cognitive function and daily activity ability were compared between the two groups.Results Before intervention,there were no significant differences in the Summary Mental State Examination Scale(MMSE),Functional Independence Scale(FIM)and Barthel Index(BI)scores between the two groups(P>0.05);after intervention,the MMSE,FIM and BI scores of the observation group were(23.77±2.32)points,(78.82±8.16)points and(80.06±6.77)points,respectively,which were higher than(20.27±3.35)points,(71.57±10.45)points and(70.34±10.23)points of the control group,the differences were statistically significant(P<0.05).Conclusion Cognitive rehabilitation training combined with overall refined nursing can improve the cognitive function of VD patients and promote the recovery of their daily activity ability.

关 键 词：血管性痴呆 认知康复训练 整体精细化护理 认知功能 日常活动能力 

分 类 号：R473[医药卫生—护理学]