延续护理对老年颈动脉狭窄患者认知功能影响的研究

Study on the Impact of Continuous Care on Cognitive Function in Elderly Patients with Carotid Artery Stenosis

目的探究延续护理措施对老年颈动脉狭窄患者认知功能的影响。方法选取吉林大学第一医院神经外科2020年8月~2021年8月收治的80例老年颈动脉狭窄患者作为研究对象,采用随机数字表法分为试验组与对照组各40例。给予对照组常规出院随访护理,试验组在此基础上给予延续护理措施。持续干预1个月后采用蒙特利尔认知评估量表(MoCA)、Barthal指数(BI)日常生活能力评分进行认知功能及日常生活能力评定,并对患者的疾病知识知晓率进行评定。结果实施本研究延续护理措施后,试验组MoCA、BI得分均高于对照组(P<0.05);试验组疾病知识知晓率与对照组比较,差异无统计学意义(P>0.05)。结论延续护理措施在提高老年颈动脉狭窄患者认知功能、日常生活能力方面效果显著,值得在临床推广应用。

Objective To explore the impact of continuous care measures on cognitive function in elderly patients with carotid artery stenosis.Methods Eighty elderly patients with carotid artery stenosis admitted to the Department of Neurosurgery of the First Hospital of Jilin University from August 2020 to August 2021 were selected as the research subjects.They were randomly divided into an experimental group and a control group with 40 patients in each group using a random number table method.The control group was given routine discharge follow-up care,while the experimental group was given continued care measures on this basis.After one month of continuous intervention,Montreal Cognitive Assessment(MoCA)and Barthal index(BI)activities of daily living scores were used to assess cognitive function and activities of daily living,and the awareness of patients′disease knowledge was assessed.Results After implementing the continuation of care measures in this study,the MoCA and BI scores in the experimental group were higher than those in the control group(P0.05);there was no significant difference in the disease knowledge awareness rate between the experimental group and the control group(P0.05).Conclusion Continuing care measures have a significant effect in improving cognitive function and activities of daily living in elderly patients with carotid artery stenosis,which is worthy of clinical application.