强化认知干预在老年轻度认知功能障碍患者中的应用

Application of cognitive function training for elderly patients with mild cognitive impairment

目的探讨强化认知训练在老年轻度认知功能障碍(MCI)患者中的应用效果。方法 135例MCI患者随机分为对照组68例和干预组67例。对照组给予常规护理,干预组在对照组基础上实施认知功能训练,观察2组干预后简易智能精神状态检查量表(MMSE)、日常生活活动能力(ADL)评分。结果实施干预后,干预组MMSE各项评分及总分均高于对照组,差异有统计学意义(P<0.01);干预组ADL量表各项评分均高于对照组,差异有统计学意义(P<0.05或P<0.01)。结论认知功能训练能够有效改善MCI患者认知障碍,提高自理能力。

Objective To investigate the effect of cognitive function training for elderly pa-tients with mild cognitive impairment （MCI） . Methods A total of 135 elderly MCI patients were ran-domly divided into the control group （n = 68） and the intervention group （n = 61） . Both two groups received routine nursing care, and the enhanced cognitive function training was performed in the inter-vention group. The score of mini-mental state examination （MMSE） and activity of daily living （ADL） were compared between two groups. Results The overall score of MMSE and subgroup score were higher in the intervention group than those of controls, with a significant difference （ P 〈0.01）. Scores of subgroup in ADL were higher in the intervention group than that of control group, with signif-icant difference （P 〈0.05 orP 〈0.01）. Conclusion Cognitive function training can improve the reabilitation of cognitive function and self-care ability in elderly MCI patients.