认知行为干预对不同认知功能状态老年人营养改善效果的影响

Theeffect of cognitive behavioral intervention on the nutritional improvement of elderly people with different cognitive functional states

目的分析对住院老年人进行认知行为干预对其营养状态的改善效果。方法以我院2014~2017年住院离退休干部400例为研究对象,按随机数字表法分为对照组和观察组各200例,评估不同老年人的认知功能状态,再展开不同的护理方案,对照组进行常规干预,观察组在此基础上加强认知行为干预,比较两组的精神状态、日常生活活动能力、认知功能和生活质量。结果干预后,观察组简易状态检查量表(MMSE)、日常生活能力量表(ADL)、蒙特利尔认知评估量表(MoCA)、健康状况调查问卷(SF-6)评分均高于对照组,差异有统计学意义(P<0.05)。结论认知行为干预是一种有效的方法来改善老年人的营养状况,提升患者自我认知,减少疾病的风险。

Objective To analyze the effect of cognitive behavioral intervention on the nutritional status of hospitalized elderly people.Methods A total of 400 hospitalized retired cadres in our hospital from 2013 to 2015 were selected as research objects.They were divided into a control group and an observation group by using random number table method,200 in each group.The cognitive function status of different elderly people was evaluated,and different nursing plans were implemented.The control group received routine intervention.The observation group received strengthened cognitive behavioral intervention.The mental state,daily living activities,cognitive function and quality of life were compared between the two groups.Results After intervention,the scores of Mini-Mental Examination(MMSE),Activities of Daily Living(ADL),Montreal Cognitive Assessment(MoCA)and Health Status Questionnaire(SF-6)in the observation group were higher than those in the control group(P<0.05).Conclusions Cognitive behavioral intervention is an effective method to improve the nutritional status of elderly people,enhance the patient self-awareness,and reduce the risk of disease.