中医体质辨识在轻度认知障碍患者社区护理干预中的应用

Application of traditional Chinese medicine constitution identification in community nursing intervention in the patients with mild cognitive impairment

目的评价基于中医体质辨识的社区护理干预对轻度认知障碍(MCI)患者的效果。方法选取社区慢性病管理的MCI患者64例,随机分为观察组和对照组,每组32例。对照组采用常规健康档案慢性病管理,观察组在对照组的基础上进行基于中医体质辨识的社区护理干预指导,包括调养指导、认知功能训练、饮食干预、运动干预、安全护理和家庭支持。干预2年后,采用日常生活能力量表(ADL)与简易智能精神状况检查量表(MMSE)评估认知功能和早期治疗依从性以及社区护理干预的效果。结果干预后,观察组的体质、生活能力、记忆与回忆能力的评分均高于对照组,差异具有统计学意义(P<0.05);观察组的早期治疗依从性显著提高,体质逐渐转向平和质,评分均高于对照组(P<0.05)。结论基于中医体质辨识的社区护理干预可以有效提升MCI患者的认知功能,对延缓MCI病程进展和提升患者生存质量起到积极的作用。

Objective To evaluate the effectiveness of community nursing intervention based on traditional Chinese medicine constitution identification in the patients with mild cognitive impairment(MCI).Methods 64 patients with MCI under the jurisdiction of chronic disease management were randomly assigned to the observation group and the control group,with 32 patients in each group.The control group were received routine chronic disease management based on standard health records,while the observation group were received community nursing intervention guided by traditional Chinese medicine constitution identification,including guidance on nourishment,cognitive function training,dietary intervention,exercise intervention,safety care,and family support.After a 2-year intervention,cognitive function,early treatment compliance,and the effectiveness of community nursing intervention were assessed using the activities of daily living scale(ADL)and the mini-mental state examination(MMSE).Results Following the intervention,the scores of constitution,daily life abilities,memory,and recall in the observation group compared to the control group,with a statistically significant difference(P<0.05).The observation group exhibited a notable improvement in early treatment compliance,with a gradual shift towards a balanced constitution,and higher scores than the control group(P<0.05).Conclusion Community nursing intervention based on traditional Chinese medicine constitution identification effectively enhances cognitive function in MCI patients,plays a positive role in delayes the progression of MCI and improving the quality of life for patients.