老年综合评估导向的针对性干预对老年血管性痴呆患者睡眠质量影响  

The Impact of Comprehensive Geriatric Assessment-oriented Targeted Interventions on Sleep Quality in Elderly Patients with Vascular Dementia

作　　者：于颖珊 YU Yingshan(Fuzhou First General Hospital,Fuzhou 350004,China)

机构地区：[1]福州市第一总医院,福州350004

出　　处：《世界睡眠医学杂志》2025年第1期39-41,45,共4页World Journal of Sleep Medicine

摘　　要：目的:分析老年综合评估导向的针对性干预对老年血管型痴呆患者认知功能与睡眠质量的影响。方法:选取2023年1月至12月福州市第一总医院收治的老年血管性痴呆患者136例作为研究对象,按照随机数字表法分为对照组和观察组,每组68例。对照组给予常规护理干预,观察组给予老年综合评估导向的针对性干预。采用简易精神状态量表(MMSE)和蒙特利尔认知评估量表(MoCA)评估2组患者干预前后的精神状态及认知功能的改善效果,并比较2组患者的护理满意度。结果:干预后,观察组简易精神状态量表(MMSE)评分、蒙特利尔认知评估量表(MoCA)评分显著高于对照组,差异均有统计学意义(均P<0.05);匹兹堡睡眠指数量表(PSQI)评分显著低于对照组,观察组护理满意度显著高于对照组,差异均有统计学意义(均P<0.05)。结论:针对老年血管性痴呆患者实施以老年综合评估为导向的个性化干预措施,能够有效提升患者的认知功能,显著改善睡眠状态,并且获得更高的患者满意度。Objective:To analyze the impact of comprehensive geriatric assessment-oriented targeted interventions on cognitive function and sleep quality in elderly patients with vascular dementia.Methods:A total of 136 elderly patients with vascular dementia admitted on January 12,2023 were selected as the study subjects and divided into a control group and an observation group using a random number table method,with 68 cases in each group.The control group received routine nursing interventions,while the observation group received comprehensive geriatric assessment-oriented targeted interventions.The Mini Mental State Examination(MMSE)and Montreal Cognitive Assessment Scale(MoCA)were used to evaluate the improvement effect of mental state and cognitive function in two groups of patients before and after intervention,and the nursing satisfaction of the two groups of patients was compared.Results:After intervention,the scores of Mini Mental State Examination(MMSE)and Montreal Cognitive Assessment Scale(MoCA)in the observation group were significantly higher than those in the control group,and the differences between the two groups were statistically significant(P<0.05);The Pittsburgh Sleep Index(PSQI)score was significantly lower than that of the control group,and the nursing satisfaction of the observation group was significantly higher than that of the control group.The differences between the two groups were statistically significant(P<0.05).Conclusion:Implementing personalized intervention measures guided by comprehensive assessment for elderly patients with vascular dementia can effectively improve their cognitive function,significantly improve their sleep status,and achieve higher patient satisfaction.

关 键 词：血管性痴呆 老年综合评估导向 针对性护理 老年人 睡眠质量 认知功能 满意度 神经系统疾病 

分 类 号：R338.63[医药卫生—人体生理学]