小组式作业疗法结合怀旧疗法对血管性痴呆患者认知功能改善的研究

Study on Improvement of Cognitive Function of Group Occupational Therapy Combined with Nostalgic Therapy in Patients with Vascular Dementia

目的:研究小组式作业疗法结合怀旧疗法对血管性痴呆(VD)患者认知功能改善的作用。方法:选择本院2019年5月-2020年5月收治的VD患者80例作为研究对象,采用随机数字表法分为干预组(n=40)和对照组(n=40),对照组予多奈哌齐联合尼麦角林治疗,并进行控制血压、血糖、降脂等脑血管病二级预防治疗;干预组在此基础上予小组式作业疗法结合怀旧疗法干预。治疗前及治疗4、8、12周后应用简易智能状态量表(MMSE)、蒙特利尔认知评估量表(MoCA)评价患者认知功能变化。结果:干预组治疗4、8、12周后MMSE、MoCA评分均高于治疗前,差异有统计学意义(P<0.05)。对照组治疗4、8周后MMSE、MoCA评分与治疗前比较差异无统计学意义(P>0.05)。干预组治疗8、12周后MMSE、MoCA评分高于对照组,差异有统计学意义(P<0.05)。结论:小组式作业疗法结合怀旧疗法可改善血管性痴呆患者认知功能。

Objective:To study the effect of group occupational therapy combined with nostalgic therapy on the improvement of cognitive function in patients with vascular dementia(VD).Method:Eighty patients with VD admitted to our hospital from May 2019 to May 2020 were selected as the research objects,and were divided into the intervention group(n=40)and the control group(n=40)by random number table method.The control group was given Donepezil combined with Nicergoline,and the secondary prevention treatment of cerebrovascular diseases such as blood pressure control,blood glucose reduction and lipid reduction was given;the intervention group was given group occupational therapy combined with nostalgia therapy intervention.Before treatment and 4,8,12 weeks after treatment,the mini-mental state examination(MMSE)and the Montreal cognitive assessment scale(MoCA)were used to evaluate the changes in patients’cognitive function.Result:The MMSE and MoCA scores at 4,8,12 weeks after treatment of the intervention group were higher than those before treatment,and the differences were statistically significant(P<0.05).There were no significant differences in MMSE,MoCA score of the control group at 4,8 weeks after treatment and before treatment(P>0.05).The MMSE and MoCA scores at 8 and 12 weeks after treatment of the intervention group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion:Group occupational therapy combined with nostalgic therapy can improve the cognitive function of patients with VD.