功能独立性评定量表对非痴呆性血管性认知功能障碍患者的预测价值及护理策略

Predictive value and nursing strategy of Functional Independence Measure in patients with non-demented vascular cognitive impairment

目的了解功能独立性评测(Function Independent Measure,FIM)量表对非痴呆型血管认知障碍患者(Vascular Cognitive Impairment No Dementia,VCIND)患者的应用价值。方法采取单中心、病例-对照研究。采用蒙特利尔认知评估量表(Montreal Cognitive Assessment,MoCA)及简易智能精神状态检查量表(Mini-Mental State Examination,MMSE)在诊断为脑血管病患者中筛选VCIND组59例和认知正常患者45例为对照组,记录两组患者基本资料、应用FIM量表进行评定并统计分析。结果与对照组比较,VCIND组社会认知及交流能力分项目评分较差;VCIND组FIM量表总分与MMSE量表、MoCA量表评分呈正相关。结论应用FIM量表对VCIND患者评估,可早期识别VCIND患者生活质量下降的危险因素,及早采取护理干预措施,延缓VCIND患者生活质量下降速度,控制疾病进展,为预防VCIND发生提供科学依据。

Objective:To understand the application value of the Function Independent Measure(FIM)for non-dementia patients with vascular cognitive impairment no dementia(VCIND).Methods:A single-center,case-control study was conducted.Fifty-nine patients with VCIND were selected as the VCIND group and 45 patients with normal cognition were selected as the control group from the patients diagnosed with cerebrovascular disease by Montreal Cognitive Assessment(MoCA)and Mini-Mental State Examination(MMSE).The basic data of the two groups were recorded,and the FIM scale was used for evaluation and statistical analysis.Results:Compared with the control group,the VCIND group had lower scores in the sub-items of social cognition and communication ability.The total score of the FIM scale in the VCIND group was positively correlated with the scores of the MMSE scale and the MoCA scale.Conclusions:The application of FIM scale in the assessment of VCIND patients can identify the risk factors for the decline of quality of life in VCIND patients early,and take nursing intervention measures as soon as possible to delay the decline of quality of life in VCIND patients,control the progression of the disease,and provide scientific basis for the prevention of VCIND.