老年轻度认知障碍患者的尊严疗法干预

Effects of dignity therapy on elderly patients with mild cognitive impairment

目的探讨尊严疗法干预在老年轻度认知障碍患者的应用效果。方法采用便利抽样法,选取92例老年轻度认知障碍患者作为研究对象,将其随机分为干预组和对照组各46例,对照组实施常规护理,干预组实施尊严疗法干预。干预前及干预后2周使用患者尊严量表、医院焦虑抑郁量表、蒙特利尔认知评估量评估效果。结果干预组干预后的尊严及认知功能得分显著优于对照组,焦虑、抑郁得分显著低于对照组(P<0.05,P<0.01)。结论尊严疗法干预可降低老年轻度认知障碍患者尊严受损程度,减轻其焦虑抑郁情绪,提高其认知能力。

Objective To explore the effect of dignity therapy on patients with mild cognitive impairment(MCI).Methods By conve-nience sampling method, 92 MCI patients were selected and evenly randomized into 2 groups :the control group received routine care, while the intervention group received dignity therapy.Patients were measured with the Patient Dignity Inventory(PDI), the Hospital Anxiety and Depression Scale(HADS), and the Montreal-Cognitive Assessment(MoCA) scale at baseline, and 2 weeks into the intervention.Results After the intervention, the intervention group had higher dignity and cognitive scores, and lower an-xiety and depression scores, than the controls(P<0.05,P<0.01).Conclusion Dignity therapy could reduce the degree of dignity damage, anxiety and depression levels in MCI patients, and improve their cognitive function.