手指锻炼和认知训练对老年轻度认知功能障碍患者的影响

Effect of finger exercises and cognitive training in elderly patients with mild cognitive impairment

目的探讨手指锻炼和认知训练对改善老年轻度认知障碍患者认知功能、日常生活能力和生活质量的效果。方法选择90例老年轻度认知障碍患者,采用随机数字表法随机将患者分为干预组和对照组,每组各45例。对照组患者采用健康教育及活动锻炼,干预组在此基础上增加手指操锻炼和认知训练。干预前、干预后3、6个月分别比较两组患者的认知功能、日常生活能力和生活质量。结果干预前两组患者认知功能、日常生活能力和生活质量得分比较,差异无统计学意义(均P>0.05);干预后3、6个月两组患者认知功能、日常生活能力和生活质量得分比较,差异具有统计学意义(均P<0.05),干预组患者得分高于对照组;而且干预组干预后3、6个月认知功能与日常生活能力和生活质量得分高于干预前(均P<0.0167)。结论对老年轻度认知障碍患者实施手指锻炼和认知训练干预,可延缓患者认知功能障碍,提高患者日常生活能力及改善其生活质量。

Objective To explore the effect of finger exercises and cognitive training on cognitive function, ability of daily living and quality of life of elderly patients with mild cognitive impairment. Methods About 90 elderly patients with mild cognitive impairment were randomly divided into experimental group and control group. In the experimental group finger exercises and cognitive training were implemented, and the control group was given routine care and health education. 3 months and 6 months after the intervention, the two groups were compared in respect of the cognitive function, ability of daily living and quality of life. Results The difference of cognitive function, daily living ability and quality of life in the elderly were statistically significant between the two groups 3 month and 6 month after the intervention（P〈0.05）. Pairwise comparison done at three time points（before intervention, 3 months and 6 months after intervention） in the experimental group showed that the difference of cognitive function, daily living ability and quality of life in the elderly were statistically significant between before intervention and 3 months after intervention, before intervention and 6 months after intervention. Conclusion The finger exercises and cognitive training in elderly patients with mild cognitive impairment can effectively strengthen the cognitive function and ability of daily living, and improve the quality of life.