怀旧联合认知行为干预对养老机构老年人认知衰弱的效果研究

The influence of nostalgia therapy combined with cognitive behavior therapy on cognitive weakness of the elderly in nursing homes

目的探讨怀旧联合认知行为干预对养老机构老年人认知衰弱的干预效果。方法采用方便抽样法将符合标准的133例患者分为实验组和对照组,对照组采用健康教育路径对患者进行常规护理,实验组在常规护理的基础上通过组建怀旧联合认知行为干预小组,制订并实施干预方案,比较两组老年人认知功能、衰弱。结果干预后,实验组老年人衰弱得分低于对照组、认知功能得分高于对照组,差异有统计学意义(P<0.01),实验组语言能力改善不明显,差异无统计学意义(P>0.05)。结论怀旧联合认知行为干预能够有效改善养老机构老年人认知衰弱水平,延缓老年人认知衰弱进程,但对语言能力改善还需要进一步研究。

Objective To explore the effect of nostalgia therapy combined with cognitive behavior intervention on cognitive weakness of the elderly in nursing institutions.Methods A total of 133 patients were divided into experimental group and control group through convenient sampling method.The control group received routine nursing by health education.The experimental group received nursing intervention by setting up nostalgia therapy combined with cognitive behavior intervention group,and formulating the implementation of intervention plan on the basis of routine nursing.Cognitive function and weakness were compared between two groups.Results After intervention,the score of weakness in the experimental group was lower than that in the control group,the cognitive function score of the experimental group was higher than that of control group,which had statistically significant difference(P<0.01).After intervention,the language ability of experimental group had no significant improvement(P>0.05).Conclusion The nostalgia therapy combined with cognitive behavior intervention can effectively improve the elderly'cognitive weakness in nursing institutions and delay its progression as well.However,the improvement of language ability need further study.