个人照顾计划联合双重任务训练对阿尔茨海默病患者认知功能、步行能力及跌倒风险的影响

Effect of personal care planning combined with dual task training on cognitive function,walking ability and fall risk in patients with Alzheimer′s disease

目的探讨个人照顾计划联合双重任务训练对阿尔茨海默病患者认知功能、步行能力及跌倒风险的影响。方法选取2020年5月至2022年5月广州市老人院收治的80例阿尔茨海默病患者作为研究对象,采用随机数字表法分为对照组和观察组,每组各40例。对照组给予认知-运动双重任务训练,观察组在对照组基础上配合个人照顾计划模式。观察两组患者认知功能、步行能力的改善情况,并评估两组患者干预前后的跌倒风险。结果两组患者干预后的蒙特利尔认知评估量表(MoCA)、Rivermead行为记忆能力测验(RBMT)评分均高于本组干预前,且观察组评分高于对照组,差异有统计学意义(P<0.05)。两组患者干预后的改良Barthel指数(MBI)评分均高于本组干预前,且观察组评分高于对照组,差异有统计学意义(P<0.05)。两组患者干预后的Moser跌倒评估量表评分水平低于干预前,且观察组评分低于对照组,差异有统计学意义(P<0.05)。结论个人照顾计划模式联合认知-运动双重任务训练更有利于改善阿尔茨海默病患者的认知功能和步行能力,降低患者跌倒风险。

Objective To explore the effect of personal care planning combined with dual task training on cognitive function,walking ability and fall risk in patients with Alzheimer's disease.Methods A total of 80 patients with Alzheimer's disease admitted to Home for the Aged Guangzhou from May 2020 to May 2022 were selected as research objects and they were divided into control group and observation group by random number table method,with 40 cases in each group.The control group was given cognitive-motor dual task training,and the observation group was given personal care planning mode on the basis of the control group.The improvement of cognitive function and walking ability of the two groups were observed,and the fall risk of the two groups before and after the intervention was evaluated.Results The Montreal cognitive assessment(MoCA)and Rivermead behavioral memory test(RBMT)scores of the two groups after intervention were higher than those before intervention,and the scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).The modified Barthel index(MBI)scores of the two groups after intervention were higher than those before intervention,and the score of the observation group was higher than that of the control group,and the differences were statistically significant(P<0.05).The scores of Moser fall scale of the two groups after intervention were lower than those before intervention,and the scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Personal care planning mode combined with cognitive-motor dual task training is more conducive to improving the cognitive function and walking ability of patients with Alzheimer's disease,and reducing the risk of falls.