轻度认知障碍患者自我护理能力及其相关因素的研究

Study on the self-care ability and its related factors in patients with mild cognitive impairment

目的了解轻度认知障碍患者自我护理能力的现状及相关因素,为进行临床护理干预提供依据。方法对某综合医院神经内科记忆门诊就诊的患者进行调查,问卷选用Becker自我护理能力自评量表、日常活动能力量表及认知功能评定量表。结果轻度认知障碍患者自我护理能力总均分为(91.24±20.61)分,与痴呆组之间差异具有统计学意义(P<0.01),与正常组之间差异无统计学意义(P>0.05)。单因素相关分析结果,文化程度、个人月收入、日常活动能力、认知能力与轻度认知障碍患者自我护理能力显著相关(P<0.01)。结论轻度认知障碍患者自我护理能力较高,接近正常人水平,且受多因素影响,护理干预时应关注个体差异。

Objective To investigate the self - care agency and its related factors in patients with mild cognitive impairment （MCI） , so as to provide reference for nursing intervention. Method The outpatients with MCI and dementia were investigated with Self - Rated Abilities for Health Practices （SRAHP） , Activity of Daily Living Scale （ADL） ,and Montreal Cognitive Assessment （MoCA）. Results The average score of SRAHP was （91.24 ± 20.61 ） points in patients with MCI,which had significant difference between the group of patients with MCI and patients with dementia （P 〈 0.01 ） , while no significant difference with the group of patients without cognitive impairment（ P 〉 0.05 ）. The score of SRAHP was related to the patients＇ educational level, economic status, ADL, and cognitive status（P 〈 0.01 ）. Conclusion The patients with MCI have intact self- care ability which is affected by muhiple factors and show individual differences.