团体益智类游戏联合吡拉西坦对老年轻度认知障碍患者的效果

The effect of group puzzle games combined with piracetam in elderly patients with cognitive impairment

目的观察团体益智类游戏联合吡拉西坦对老年轻度认知障碍患者认知功能、生活质量及心理状态的影响。方法选取我科2017年7月~2019年11月之间收治的121例老年轻度认知障碍患者为观察对象,分为对照组60例和观察组61例,对照组给予吡拉西坦及常规护理干预,观察组在对照组的基础上给予团体益智类游戏,6个月后对比两组患者认知功能、生活质量及心理状态和观察组患者依从率。结果两组患者治疗后MMSE评分和MoCA评分明显提高(P<0.05),治疗后观察组MMSE评分和MoCA评分明显优于对照组(P<0.05)。两组患者治疗后QOL-AD评分和ADL评分明显提高(P<0.05),治疗后观察组患者QOL-AD评分和ADL评分明显优于对照组(P<0.05)。两组患者治疗后SAS评分和SDS评分均明显低于治疗前(P<0.05),治疗后观察组患者SAS评分和SDS评分明显低于对照组(P<0.05)。结论团体益智类游戏联合吡拉西坦能够有效改善老年轻度认知障碍患者认知功能,提高日常生活能力改善生活质量,从而有效减轻抑郁和焦虑情绪。

Objective To observe the effect of group puzzle games combined with piracetam on the cognitive function,quality of life and mental state of elderly patients with cognitive impairment.Methods A total of 121 elderly patients with cognitive impairment who were admitted to our department from July 2017 to November 2019 were selected and divided into the control group(n=60)and the observation group(n=61).The control group was given piracetam and conventional nursing intervention,the observation group was given group puzzle games on the basis of the control group.After 6 months,the cognitive function,quality of life and mental state and the compliance rate of the two group were compared.Results The MMSE score and MoCA score in both of two groups were significantly improved after treatment(P<0.05),and the MMSE score and MoCA score of the observation group were significantly better than those of the control group(P<0.05).The QOL-AD score and ADL score in both of two groups of patients were increased significantly after treatment(P<0.05),and the QOL-AD score and ADL score of the observation group were significantly better than those of the control group(P<0.05).The SAS score and SDS score of the two groups of patients after treatment were significantly lower than those before treatment(P<0.05),and the SAS score and SDS score of the observation group were significantly lower than those of the control group(P<0.05).Conclusion Group puzzle games combined with piracetam can effectively improve the cognitive function of elderly patients with cognitive impairment,improve their the ability of daily living and the quality of life,and effectively reduce their depression and anxiety.