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护理干预在轻度认知功能障碍患者中的作用研究(1)
http://www.100md.com 2016年7月15日 《中国医学创新》 2016年第20期
     【摘要】 目的:探讨护理干预应用在轻度认知功能障碍患者中的作用。方法:随机抽取2012年

    5月-2015年5月本院经蒙特利尔认知功能量表(MocA)筛查出的轻度认知功能障碍患者150例进行研究,按照随机数字法分为两组各75例。对照组患者按照常规随诊与日常健康教育处理,研究组在对照组基础上加用护理干预。观察记录两组患者护理前与护理半年时MocA多条条目评分及总分,以及患者的护理满意率,并对比分析。结果:两组患者护理半年时MocA多条条目评分与总分均有改善(P<0.05),但研究组改善更明显(P<0.05);同时,研究组患者的护理满意率高于对照组(P<0.05)。护理前,两组SF-36评分比较差异无统计学意义(P>0.05),护理半年,两组患者SF-36评分明显高于护理前(P<0.05),其中研究组增高幅度更明显(P<0.05)。结论:轻度认知功能障碍患者采取护理干预,不仅改善认知功能,提高患者对护理的满意率,患者及其家属更满意,并改善患者的生活质量,值得借鉴。

    【关键词】 轻度认知功能障碍; 蒙特利尔认知功能量表; 护理干预; 满意

    The Role Study of Care Intervention in Patients with Mild Cognitive Impairment/LI Run-hui.//Medical Innovation of China,2016,13(20):093-096

    【Abstract】 Objective:To investigate the application of nursing intervention in patients with mild cognitive impairment in rats.Method:The 150 cases of mild cognitive impairment detected by menstrual Montreal Cognitive Functioning Scale (MocA) in our hospital from May 2012 to May 2015 were selected,according to randomized they were divided into two groups,each group had 75 cases.The control group of patients followed up in accordance with the daily routine of health education process,while based on the control group,the study group used of nursing intervention.MocA score and total score for each entry before and caring for six months,as well as patient care satisfaction rate were compared of the two groups.Result:The two groups of patients care six months,MocA score and score the entries were improved(P<0.05),but the study group improved more significantly (P<0.05).At the same time,the study group patient care satisfaction rate was significantly higher(P<0.05).Before nursing,SF-36 scale were similar between the two groups,it had no statistical significance(P>0.05),and after nursing for half a year,SF-36 scale were significantly higher than pre-therapy(P<0.05),in which the indexs increased amplitude of the study group were more obviously(P<0.05).Conclusion:Patients with mild cognitive impairment to take nursing intervention,not only can improve cognitive function,while improving patient care satisfaction rate,patients and their families were more satisfied,and improving patient life quality,it is worth learning from.

    【Key words】 Mild cognitive impairment; Montreal Cognitive Functioning Scale; Nursing intervention; Satisfaction

    First-author’s address:Shenzhen Futian District Chinese Medicine Hospital,Shenzhen 518000,China

    doi:10.3969/j.issn.1674-4985.2016.20.025

    轻度认知功能障碍指的是有记忆力主诉,且经他人证实,记忆障碍和同龄人群或受同等教育者要严重,但日常生活能力正常,总体认知相对完好,尚未发展到阿尔茨海默病的一种认知功能衰减疾病[1]。本病若不及时采取措施干预,极易进展为老年痴呆,为此尽早干预对于预防老年痴呆有着积极的意义。为了进一步探讨护理干预在轻度认知功能障碍中的效果,笔者所在医院实施了研究,现报道如下。, http://www.100md.com(李润辉)
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