综合护理措施在血管性认知功能障碍病人中的应用效果分析

Analysis of application effect of comprehensive nursing measures for patients with vascular cognitive dysfunction

[目的]探讨综合护理措施在血管性认知功能障碍病人中的效果观察。[方法]选取血管性认知功能障碍病人78例,随机分为对照组和观察组各39例,对照组予以常规护理干预措施,观察组予以综合全面的护理措施。分别对两组病人的简易智能状态检查量表(MMSE)、蒙特利尔认知评估量表(MOCA)、日常生活功能(ADL-Bathel指数)进行评估和比较。[结果]入院时,两组病人的MMSE评分比较差异无统计学意义(P>0.05),干预3个月后,观察组病人评分明显高于对照组,差异具有统计学意义(P<0.05);观察组MOCA评分亦显著优于对照组,差异具有统计学意义(P<0.05);入院时两组病人ADL Bathel指数比较差异无统计学意义(P>0.05),干预3个月后,与对照组相比,观察组的ADL Bathel指数明显偏高,差异具有统计学意义(P<0.05)。[结论]综合护理措施较常规的护理措施而言,其有助于促进血管性认知功能障碍病人的认知功能,同时提高病人的接受能力以及生活能力。

Objective：To probe into the effect of comprehensive nursing measures for patients with vascular cognitive dysfunction.Methods：A total of 78 cases of patients with vascular cognitive dysfunction were selected and randomly divided into observation group and control group,39 cases in each.The patients in control group were given routine nursing interventions,the patients in observation group were given comprehensive nursing measures.The patients were evaluated and compared by using MMSE、MOCA、ADL-Bathel indexes.Results：On admission,there was no statistically significant difference in MMSE score between both groups（P〉0.05）,after three months of intervention,the score of patients in observation group was significantly higher than that in control group,and the difference was statistically significant（P〈0.05）;The MOCA score of patients in observation group was superior to that in control group,and the difference was statistically significant（P〈0.05）.There was no statistical difference in ADL Bathel index between both groups on admission（P〉0.05）.After three months of intervention,compared with that in control group the ADL Bathel index in observation group was much higher,and the difference was statistically significant（P〈0.05）.Conclusion：Compared with routine nursing,comprehensive nursing measures were helpful to promote the cognitive function in patients with vascular cognitive dysfunction,and improve the patient＇s accept ability and the ability of life.