实际定向疗法改善血管性痴呆患者认知功能的效果

Effect of Reality Orientation Therapy on Cognitive Function of Patients with Vascular Dementia

目的探讨实际定向疗法对改善血管性痴呆患者认知功能的效果。方法将70例轻、中度血管性痴呆患者随机分为实验组和对照组,每组35例。对照组根据病情,按常规进行治疗及护理。实验组在接受常规治疗护理的基础上,实施连续3个月的实际定向疗法的康复训练。两组患者在治疗前及治疗后采用简易智力状态量表(MMSE)及Barthel指数评定量表(MBI)进行评定。结果经治疗后,2组患者的MMSE和MBI均明显提高,但以实验组患者的改善幅度更为显著,与对照组比较,差异有统计学意义(P<0.05)。结论实际定向疗法能提高轻、中度血管性痴呆患者残存的认知功能和日常生活活动能力。

Objective To explore the effect of reality orientation therapy on cognitive function of patients with vascular dementia. Methods A total of 70 cases of mild or moderate vascular dementia were randomized into the experimental group and the control group with 35 cases in each group. The control group received routine therapy and nursing according to their conditions. The experimental group received the rehabilitation of 3 consecutive months of reality orientation therapy on the basis of conventional treatment and care. All the patients in the two groups were evaluated with mini-mental state examination （MMSE） and barthel index scale （MBI） before and after treatment. Results After the treatment,the MMSE and MBI of patients in both groups were significantly improved. The improvement of MMSE and MBI in the experimental group were more significant（P〈0.05）. Conclusion The reality orientation therapy can improve the residual cognitive function and daily mobility in patients with mild and moderate vascular dementia.