陪伴对老年痴呆症患者认知功能的影响

The Influence of Accompany on Cognizes Function in the Patients with Alzheimers Disease

目的了解陪伴对老年痴呆症患者认知功能的影响。方法使用简易智能精神状态检查量表(MMSE)、功能活动调查表(FAQ)与瑞文标准推理测验(SPM)量表对患者的认知功能进行评定。3个量表的分数作为患者认知功能的原初指标。1年后将仍保持随访的患者用初测的量表及同样的方法复测认知功能。根据陪伴情况确定检验组及对照组。将3个量表的初测与复测的分数进行统计学处理,了解每个量表分数前后变化情况,分析检验组与对照组患者前后认知功能的差异。结果检验组MMSE初测均数高于复测均数,均数的差异无统计学意义(初测15.91±3.66,复测14.20±3.74,t=1.94,P>0.05);对照组初测均数高于复测均数,均数的差异有统计学意义(初测15.84±3.95,复测12.91±3.30,t=3.23,P<0.01);检验组FAQ初测均数低于复测均数,均数的差异无统计学意义(初测9.91±3.15,复测11.83±3.59,t=2.37,P>0.05),对照组初测均数低于复测均数,均数的差异有统计学意义(初测10.03±3.16,复测13.78±3.48,t=4.52,P<0.01);检验组SPM初测均数高于复测均数,均数的差异无统计学意义(初测11.34±3.64,复测10.91±3.09,t=0.53,P>0.05),对照组初测均数高于复测均数,均数的差异有统计学意义(初测11.13±3.29,复测8.75±2.41,t=3.30,P<0.001)。结论陪伴可减缓老年痴呆症患者认知功能的减退。

Objective To investigate the influence of accompany on cognizes function in the patients with Alzheimers disease.Methods Use Mini-mental state examination（MMSE）,Functional Activites Questionnaire（FAQ） with Raven’s Standard Progressive Matrices（SPM）,quantity the form carry on assessing in the patients of cognition function.The original early index signs that the patients of cognizes function was measured.After 1 year with visit of the patients retest cognition function with quantity form and same method that the beginning measures was taken.The experimental group and the control group was decided according to the accompany of circumstance.Carry on the scores that 3 beginnings that measure form measure and retest the statistics learn a processing and understand each scale score to change a circumstance before or after,analysis experimental group and control group the patient cognize the variety and difference of function before or after.Results Experimental group MMSE primary test average and retest average comparison：primary test average was higher than that of retest average,the average of the difference didn’t show meaning（primary test 15.91±3.66,retest：14.20±3.74,t=1.94,P0.05）,control group MMSE primary test average and retest average comparison：primary test average was higher than that of retest average,the statistics learns a processing,average of the difference showed meaning very much（primary test 15.84±3.95,retest 12.91±3.30,t=3.23,P0.01）;The experimental group FAQ primary test average and retest average comparison：primary test average was lower than that of retest average,the average of the difference didn’t show meaning（primary test 9.91±3.15,retest 11.83±3.59,t=2.37,P0.05）,control group FAQ primary test average and retest average comparison：primary test average was lower than that of retest average,the average of the difference showed meaning very much（primary test 10.03±3.16,retest 13.78±3.48,t=4.52,P0.01）;the experimental group SPM primary test average with retest average comparison：primary test average was higher r than that of retest average,the average of the difference didn’t show meaning（primary test 11.34±3.64,retest 10.91±3.09,t=0.53,P0.05）,control group SPM primary test average with retest average comparison：primary test average was higher than that of retest average,the average of the difference showed meaning very much（primary test 11.13±3.29,retest 8.75±2.41,t=3.30,P0.001）.Conclusion The accompany can decelerate the decrease of cognize function in the patients with Alzheimers disease