Effect of Cognitive Behavioral Intervention on Plasma Cortisol in Patients with Breast Cancer PTSD

Objective: To investigate the effect of cognitive behavioral intervention on plasma cortisol in patients with breast cancer PTSD before surgery. Methods: SCL-90, EPQ-N and cognitive behavior intervention were performed on 30 patients with PTSD, 30 patients without PTSD and 30 normal subjects, and their fasting blood was collected to analyze cortisol in the morning. Results: The scores of SCL-90 and EPQ-N in patients with breast cancer PTSD were significantly higher than those in non-PTSD patients and normal subjects (P < 0.01). After cognitive behavioral intervention, the plasma cortisol level of breast cancer PTSD patients was significantly decreased (P Conclusion: Compared with non-PTSD breast cancer patients and normal control group, breast cancer PTSD patients had more serious psychological problems, worse emotional stability and higher plasma cortisol level. Cognitive-behavioral intervention can effectively reduce plasma cortisol levels in breast cancer patients with PTSD.

Effects of comprehensive nursing with cognitive behavioral therapy in orthodontic osteodilated arch treatment

BACKGROUND This work explored the effects of cognitive behavior therapy(CBT)-based comprehensive nursing intervention(CNI)mode in arch expansion to treat patients with orthodontic osteodilated arch(OOA).AIM To explore the application effect of CBT-based CNI model in orthodontic expansion arch treatment.METHODS Using convenient sampling method,81 patients with OOA were selected and rolled into a control group(Ctrl group,40 cases)and an observation group(Obs group,41 cases).During the treatment,patients in the Ctrl group received routine nursing intervention mode,and the those in the Obs group received CBT mode on the basis of this.Before and after intervention,the incidence of oral mucositis,the mastery rate of correct arch expansion method,self-rating anxiety scale score,soft scale index,and plaque index were compared for patients in different groups.In addition,satisfaction and complications were comparatively analyzed.RESULTS Incidence of oral mucositis in the Obs group was lower(14.6%vs 38.5%),and the mastery rate of correct arch expansion method was obviously higher(90.2%vs 55.0%)was obviously higher(all P<0.05).Meanwhile,the soft scale index and plaque index in the Obs group were much lower(P<0.05).The compliance(90.24%)and satisfaction(95.12%)in the Obs group were greatly higher(P<0.05).CONCLUSION The CBT-based CNI mode greatly improved the mastery rate of correct arch expansion method during arch expansion in treating patients with OOA and enhanced the therapeutic effect of arch expansion and the oral health of patients,improving the patient compliance.

Effect of cognitive behavioral group therapy on rehabilitation of community patients with schizophrenia:A short-term randomized control trial

BACKGROUND The efficacy of cognitive behavioral group therapy(CBGT)for cognitive dysfunction and negative symptoms of schizophrenia is established,but more evidence is required.AIM To assess the effectiveness of CBGT combined with mental health education as a treatment for schizophrenia compared with mental health education alone.METHODS In all,120 schizophrenia out-patients were randomized into CBGT combined with mental health education or single mental health education.The primary outcomes were positive and negative symptoms,cognitive function,excitatory factor,anxiety and depression symptom improvements on the positive and negative syndrome scale score.Secondary outcome measures included social function and drug compliance.RESULTS There were significant differences between CBGT combined with mental health education and single mental health education on measures of positive and negative symptoms,cognitive functions,excitatory factor,anxiety and depression symptoms,and social functions.No other significant difference in outcomes was observed.CONCLUSION CBGT combined with mental health education may be relevant beneficial treatment method in reducing symptoms,cognitive and social functions of patients with schizophrenia.

Effect of Montessori method on the cognitive and behavioral intervention of senile dementia patients:a meta-analysis

Background:To evaluate the effect of Montessori method on cognitive and behavioral function in patients with senile dementia by meta-analysis.Methods:The randomized controlled trials of the effect of Montessori method on cognitive and behavioral functions of Alzheimer’s patients in PubMed,Cochrane Library,Web of Science,Excerpt Medica Database,The Cumulative Index to Nursing&Allied Health Literature,Chinese BioMedical Literature Database,China National Knowledge Infrastructure,Weipu Information Chinese Periodical Service Platformdatabase and Wanfang database were searched by computer,and the references of relevant literatures were traced.Two researchers independently conducted literature screening,data extraction,evaluation and inclusion in the literature,using RevMan 5.4.1 software for meta-analysis.Results:A total of 11 literatures were included and 936 patients were enrolled.Meta analysis shows that compared with routine nursing,Montessori method is helpful to improve the overall cognitive function(standardized mean difference=1.53,95%confidence interval(1.32,1.73),P<0.01),activities of daily living and reduce the incidence of adverse events(relative risk=0.37,95%confidence interval(0.21,0.63),P<0.01)in patients with Alzheimer’s disease.Conclusion:Montessori method is helpful to improve the overall cognitive function,activities of daily living and reduce the incidence of adverse events in patients with senile dementia.Affected by the included study,it still needs to be confirmed by multi center and large sample randomized controlled study.

Effectiveness of cognitive behavior therapy for sleep disturbance and glycemic control in persons with type 2 diabetes mellitus:A community-based randomized controlled trial in China

BACKGROUND Poor sleep quality is a common clinical feature in patients with type 2 diabetes mellitus(T2DM),and often negatively related with glycemic control.Cognitive behavioral therapy(CBT)may improve sleep quality and reduce blood sugar levels in patients with T2DM.However,it is not entirely clear whether CBT delivered by general practitioners is effective for poor sleep quality in T2DM patients in community settings.AIM To test the effect of CBT delivered by general practitioners in improving sleep quality and reducing glycemic levels in patients with T2DM in community.METHODS A cluster randomized controlled trial was conducted from September 2018 to October 2019 in communities of China.Overall 1033 persons with T2DM and poor sleep quality received CBT plus usual care or usual care.Glycosylated hemoglobin A1c(HbAlc)and sleep quality[Pittsburgh Sleep Quality Index(PSQI)]were assessed.Repeated measures analysis of variance and generalized linear mixed effects models were used to estimate the intervention effects on hemoglobin A1c and sleep quality.RESULTS The CBT group had 0.64,0.50,and 0.9 lower PSQI scores than the control group at 2 mo,6 mo,and 12 mo,respectively.The CBT group showed 0.17 and 0.43 lower HbAlc values than the control group at 6 mo and 12 mo.The intervention on meanΔHbAlc values was significant at 12 mo(t=3.68,P<0.01)and that meanΔPSQI scores were closely related toΔHbAlc values(t=7.02,P<0.01).Intentionto-treat analysis for primary and secondary outcomes showed identical results with completed samples.No adverse events were reported.CONCLUSION CBT delivered by general practitioners,as an effective and practical method,could reduce glycemic levels and improve sleep quality for patients with T2DM in community.

基于家属支持的心理-行为-认知干预在舌癌根治术患者中的应用效果

目的探讨基于家属支持的心理-行为-认知干预在舌癌根治术患者中的应用效果。方法根据干预方式的不同将116例舌癌根治术患者分为对照组(n=60)和研究组(n=56),对照组患者给予常规干预,研究组患者给予家属支持的心理-行为-认知干预。比较两组患者的负性情绪[抑郁自评量表(SDS)、焦虑自评量表(SAS)]、生活质量[华盛顿大学生存质量问卷(UW-QOL)]、希望水平[Herth希望量表(HHI)]、术后并发症发生情况、依从性和满意情况。结果干预后,两组患者SDS、SAS评分均低于本组干预前,UW-QOL、HHI各维度评分均高于本组干预前,研究组患者SDS、SAS评分均低于对照组,UW-QOL、HHI各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。研究组患者的术后并发症总发生率低于对照组,总依从率和总满意度均高于对照组,差异均有统计学意义(P﹤0.05)。结论基于家属支持的心理-认知-行为干预能改善舌癌根治术患者的负性情绪、生活质量及希望水平,降低并发症发生率,并且提高患者的依从率和满意度。

认知-行为模型的团体心理干预对改善大学生手机依赖的效果

目的:探讨以认知-行为模型为理论基础设计的团体心理干预对于缓解大学生手机依赖问题的治疗效果。方法:采用便利取样的方式选择某大学存在手机依赖困扰的45名大学生,随机分为实验组(n=15)、安慰剂组(n=15)和对照组(n=15),对实验组进行基于认知-行为模型的手机依赖心理干预,安慰剂组接受与手机依赖主题无关的团体心理干预,对照组则正常生活,不参加任何心理辅导或咨询活动。3组被试均使用手机依赖指数量表(MPAI)中文版作为测评工具,同时结合个体的日均手机使用时长来共同探究干预前后各组实验数据的差异。结果:在前测中,各组的MPAI得分与日均手机使用时长均不存在显著差异(MPAI前测:F=0.79,P>0.05;日均手机使用时长前测:F=1.51,P>0.05)。但在后测中,实验组的MPAI得分与日均手机使用时长均得到了显著的改善(P<0.001),且都显著低于安慰剂组、对照组(P<0.01)。干预后1个月追踪测量显示,实验组各项数据依然显著低于其他两组,且与前测存在显著差异(P<0.001)。结论:基于认知-行为模型的团体心理干预能够有效缓解大学生的手机依赖水平,帮助其尽早摆脱对手机的过度使用,回归并保持健康的身心状态与生活方式。

信息-动机-行为模式干预对原发性肝癌介入治疗患者自我效能及认知水平的影响

目的探讨信息-动机-行为模式干预对原发性肝癌介入治疗患者自我效能及认知水平的影响。方法依据干预方法的不同将95例原发性肝癌介入治疗患者分为对照组(n=47)与观察组(n=48),对照组患者接受常规干预,观察组患者在此基础上接受信息-动机-行为模式干预。比较两组患者的自我管理水平、认知水平、依从性及满意度。结果干预后,两组患者饮食管理、治疗管理、情绪心理管理、躯体活动管理评分均低于本组干预前,观察组患者饮食管理、治疗管理、情绪心理管理及躯体活动管理评分均低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者疾病知识、科学用药、自我护理及健康饮食评分均高于本组干预前,观察组患者疾病知识、科学用药、自我护理及健康饮食评分均高于对照组,差异均有统计学意义(P﹤0.05)。干预后,观察组患者康复锻炼、定期介入、饮食指导依从性及护理方法、护患沟通、护理效果满意度均高于对照组,差异均有统计学意义(P﹤0.05)。结论信息-动机-行为模式干预能提高原发性肝癌介入治疗患者的自我管理水平,改善患者的认知水平,且治疗依从性与满意度均较高。

Effect of distinct psychological interventions on changes in selfreported distress,depression and loneliness among older adults during COVID-19

BACKGROUND Older adults have been considered a primary at-risk population during the coronavirus disease 2019(COVID-19)pandemic,and many efforts have been and still are directed toward supporting them and enhancing their capacity to cope with the pandemic.Evidence shows that by enhancing proactive coping abilities through psychological interventions,in which cognitive-behavioral and mindfulness techniques are taught and practiced effectively,these interventions have supported older adults throughout the pandemic.However,the underlying mechanisms by which specific intervention components affect various mental states such as distress,depression and loneliness among older adults remain unclear and warrant investigation.AIM To determine the effect of an intervention using cognitive-behavioral and mindfulness techniques on changes in distress,depression and loneliness.METHODS We performed a secondary analysis on data from a previous study in which community-dwelling older adults attended a short-term,internet-based intervention during the first COVID-19 wave in Israel.The intervention included seven sessions during which various cognitive-behavioral and mindfulness techniques were learned and practiced.In-session changes in psychological distress were measured using the Subjective Units of Distress Scale(SUDS),which participants rated at the beginning and end of each session.Participants also filled out questionnaires that evaluated levels of depression[Patient Health Questionnaire(PHQ-9)]and loneliness(UCLA loneliness Scale)prior to and after the entire intervention process.The effect of in-session changes in the SUDS on changes in post-intervention depression and loneliness levels were assessed,as a proxy for distinct technique effectiveness.RESULTS The findings indicated in-session differences in terms of a decrease in psychological distress(SUDS).Sessions that included relaxation exercises and guided imagery,as well as sessions that included cognitive restructuring and mindfulness meditation,demonstrated the largest decreases in in-session psychological distress(≥35%).Two multivariate regression models,one for levels of post-intervention depression(PHQ-9 score)and the other for levels of post-intervention loneliness(UCLA loneliness score),were fitted.The results revealed two statistically significant explanatory variables for depression:The SUDS difference for sessions in which cognitive restructuring and mindfulness meditation were practiced,beta=-0.25,95%CI:-1.23 to-0.1,and the pre-intervention level of depression,beta=0.62,95%CI:0.37-0.75.The second model for loneliness revealed only one significant explanatory variable:The SUDS difference for sessions in which relaxation and guided imagery were practiced,beta=0.41,95%CI:0.14-0.65.CONCLUSION Different psychological techniques seem to have different effects on distress,loneliness and depression.Understanding the pathways by which distinct techniques affect negative mental symptoms has implications for future intervention design.

认知-态度-信念-行为理论为重点的护理模式在腹腔镜胆囊切除术后患者中的应用

目的 探析认知-态度-信念-行为理论为重点的护理模式在腹腔镜胆囊切除术后患者中的应用效果。方法 方便选取2022年8月—2023年8月济南市济阳区人民医院收治的88例行腹腔镜胆囊切除术患者为研究对象,依据随机抽签法分为两组,每组44例。A组实施常规围术期护理;B组实施认知-态度-信念-行为理论为重点的护理模式。比较两组术后恢复指标及护理满意度。结果 B组术后恢复指标首次下床、首次肛门排气、排便时间均短于A组,差异有统计学意义(P均<0.05)。出院时,B组疼痛评分低于A组,差异有统计学意义(P<0.05)。B组疾病知识掌握率为95.45%,高于A组的77.27%,差异有统计学意义(χ^(2)=6.175,P<0.05)。B组并发症发生率为4.54%,低于A组的18.18%,差异有统计学意义(P<0.05)。B组的护理满意率为93.18%,高于A组的77.27%,差异有统计学意义(P<0.05)。结论 对腹腔镜胆囊切除术后开展认知-态度-信念-行为理论为重点的护理模式,效果理想,能促进患者术后恢复,降低疼痛感,提高疾病知识掌握率、护理满意度,减少并发症的发生。

参与共治模式下护士-家属协同干预策略对糖尿病患者血糖控制及生活质量的影响

目的:探究参与共治模式下护士-家属协同干预策略对糖尿病患者血糖控制及生活质量的影响。方法:选取108例糖尿病患者作为研究对象,根据参与共治模式下护士-家属协同干预实施时间前后,将实施前接受常规干预的54例糖尿病患者纳入对照组;将实施后接受参与共治模式下护士-家属协同干预的54例糖尿病患者纳入观察组,两组患者均干预3个月。比较两组患者干预前后血糖水平、认知度、遵医行为及生活质量。结果:干预后,两组患者糖化血红蛋白(HbAlc)、最大血糖波动幅度(LAGE)、空腹血糖(FPG)水平及糖尿病遵医行为评定量表(DCBRS)评分均低于干预前(P<0.05),且观察组低于对照组(P<0.05);糖尿病知识量表(DKT)及糖尿病特异性生存质量量表(DQOL)评分均高于干预前(P<0.05),且观察组高于对照组(P<0.05)。结论:参与共治模式下护士-家属协同干预可有效控制糖尿病患者血糖水平,提高其疾病认知度,促进遵医行为,改善生活质量。

认知-行为护理干预在急性有机磷农药中毒患者中的应用效果分析

目的探究认知-行为护理干预在急性有机磷农药中毒患者中的应用效果。方法选取2020年6月至2022年6月中山市中医院收治的81例急性有机磷农药中毒患者为研究对象依据护理方法不同分为两组,常规组40例患者采用常规护理。干预组41例患者给予常规护理加认知-行为护理干预。比较两组的住院时间、治愈率、并发症发生率、治疗依从性、自我效能、自杀意念、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分。结果两组治愈率比较,差异无统计学意义(P>0.05),干预组患者的住院时间、并发症发生率、自杀意念、SAS、SDS评分均较常规组低,治疗依从性、自我效能均较常规组高,差异有统计学意义(P<0.05)。结论将认知-行为护理干预应用于急性有机磷农药中毒患者的治疗与护理中,可以有效缓解患者不良情绪,提高患者自我效能及治疗依从性与治疗效果,促进患者康复。

认知行为干预对体外受精-胚胎移植患者负性情绪及妊娠结局的影响

目的探讨认知行为干预对体外受精-胚胎移植(in vitro fertilization and embryo transfer,IVF-ET)患者负性情绪及妊娠结局的影响。方法选取首次行IVF-ET的216例患者作为研究对象,随机分为对照组110例、干预组106例。均于干预及移植前采用焦虑自评量表和抑郁自评量表评估2组患者的心理状况。对照组仅给予IVF-ET专业知识宣教。干预组在对照组基础上,增加认知行为干预。比较2组干预前后焦虑、抑郁评分及临床妊娠结局。结果干预前,2组焦虑、抑郁评分无显著差异(P>0.05)。干预后,干预组焦虑、抑郁评分较干预前显著降低(P<0.001),对照组干预前后焦虑、抑郁评分无明显变化(P>0.05),且干预后干预组焦虑、抑郁评分明显低于对照组(P<0.001,P=0.008)。干预组临床妊娠率明显高于对照组(P<0.05)。结论认知行为干预能够有效缓解IVF-ET患者焦虑、抑郁情绪,显著提高IVF-ET患者临床妊娠率。

Components of complex interventions for healthcare: A narrative synthesis of qualitative studies

Objective:Qualitative research on therapeutic components is necessary to evaluate the efficacy of complex interventions in healthcare.As few qualitative syntheses have been conducted,this study aimed to derive a new conceptual framework for understanding the components of complex interventions and provide evidence for the implementation and evaluation of complex healthcare interventions.Methods:A systematic search of seven databases was conducted to identify qualitative studies that explored components of complex healthcare interventions.Meta-ethnography was used to analyze the data and thematic analysis was used to build the conceptual framework.Results:Of the 35 included studies,most complex interventions were non-pharmacological,with cancer accounting for 22%,mental health for 14%,and stroke for 8%.Half of the studies were conducted in the United Kingdom.Three main categories emerged:what should healthcare workers do?what qualifications should they have?and what should patients do?Five main themes were identified:psychological,biological,cognitive and behavioral,environmental,and social support.Conclusion:This analysis provides a reference for designing components of complex interventions in further studies.

Early psychological interventions for psychosis

The manuscript correspond to an editorial in order to assess the most important and effective interventions for people with psychosis in the early stages.

IMB模型联合Teach-back健康教育在冠心病经皮冠状动脉介入术后患者中的应用效果

目的 观察信息-动机-行为模式(IMB)模型联合Teach-back健康教育在冠心病患者经皮冠状动脉介入术后的应用效果。方法 选取2019年4月至2020年12月安徽省阜阳市人民医院进行经皮冠状动脉介入术的冠心病患者60例为研究对象,依据随机单双数法将其分为对照组与研究组,各30例。对照组行常规Teach-back健康教育,研究组在对照组的基础上行IMB模型的健康教育。干预3个月后,比较两组遵医依从性,两组干预前后的健康知识认知状况及生存质量。结果 研究组遵医依从性优于对照组,差异有统计学意义(P<0.05);干预后,两组疾病诱因、急救处理、干预药物、术后注意事项、并发症、运动管理、饮食管理得分高于干预前,且研究组高于对照组(P<0.05);干预后,两组心绞痛发作程度、疾病认知程度、躯体受限程度、心绞痛稳定性、治疗满意度评分高于干预前,且研究组高于对照组(P<0.05)。结论 IMB模型联合Teach-back健康教育干预措施在冠心病患者经皮冠状动脉介入术后应用可显著提升其依从性及健康知识了解状况,同时能改善其生存质量,值得推广应用。

认知-行为干预在大肠癌早期筛查预防宣教中的价值

目的:探究认知-行为干预在大肠癌早期筛查预防宣教中的价值。方法:选择2021年1—12月于厦门大学附属中山医院接受大肠癌早期筛查的50名受检者为观察对象,在计算机盲选法基础上将其分为两组,各25例。对照组接受常规健康教育,观察组接受认知-行为干预。比较两组认知水平、健康行为、治疗依从性、负面情绪评分、护理满意度。结果:观察组认知水平总掌握率明显高于对照组,差异有统计学意义(P<0.05)。观察组规律饮食、合理运动、戒烟戒酒、定期复查评分明显高于对照组,差异有统计学意义(P<0.05)。观察组治疗依从率为96.0%,高于对照组的76.0%,差异有统计学意义(P<0.05)。干预前,两组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05);干预后,观察组SAS评分、SDS评分均低于对照组,差异有统计学意义(P<0.05)。观察组护理总满意度为92.0%,高于对照组的68.0%,差异有统计学意义(P<0.05)。结论:大肠癌早期筛查患者接受认知-行为干预可对疾病相关知识掌握程度起到良好提升作用,充分达到预防宣教目的,同时改善患者健康行为,促进依从性升高,对负面情绪缓解有良好效果。

基于信息-动机-行为理念的认知干预结合心理弹性支持对骨肉瘤手术患者生活质量及预后的影响

目的:探讨基于信息-动机-行为(IMB)理念的认知干预结合心理弹性支持对骨肉瘤手术患者生活质量及预后的影响。方法:选取2020年1月—2022年1月南昌大学第一附属医院收治的80例行骨肉瘤手术患者作为此次研究对象,根据随机数字表法将其分成常规组和试验组,各40例。常规组采取心理弹性支持干预,试验组在常规组基础上加入基于IMB理念的认知干预。对比两组干预前后心理状态、日常生活活动能力(activity of daily living,ADL)评分、匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)评分、生活质量及马斯洛需要层次的变化情况。结果:随访6个月后,两组抑郁自评量表(self-rating depression scale,SDS)、焦虑自评量表(self-rating anxiety scale,SAS)评分均低于干预前,且试验组均低于常规组(P<0.05)。随访6个月后,两组ADL评分均高于干预前,且试验组高于常规组(P<0.05)。随访6个月后,两组PSQI评分均高于干预前,且试验组均低于常规组(P<0.05)。随访6个月后,两组生活质量评分均高于干预前,且试验组均高于常规组(P<0.05)。随访6个月后,试验组安全需要比例低于常规组(P<0.05),但两组归属与爱的需要、尊重需要、自我实现、生理需要比例比较,差异均无统计学意义(P>0.05)。结论:骨肉瘤手术患者给予基于IMB理念的认知干预结合心理弹性支持效果显著,能够改善患者心理状态和睡眠功能,提高生活质量。

认知行为干预对固定矫正器正畸患者心理负担和自护能力的影响

目的:探讨认知行为干预对固定矫正器正畸患者心理负担和自护能力的影响。方法:选取2020年1月-2021年1月某院收治的90例固定矫正器正畸患者为研究对象,按照入院先后分为对照组和观察组,每组各45例;对照组采取常规干预,观察组采取认知行为干预;对比两组治疗依从性,干预前后心理负担[汉密尔顿焦虑自评量表(HAMA)、汉密尔顿抑郁自评量表(HAMD)]、舒适度和疼痛情况[Kolcaba简化舒适状况量表、视觉模拟评分法(VAS)]、自护能力[自我护理能力量表(ESCA)]及自我效能[口腔保健自我效能量表(SESS)]。结果:两组治疗依从性比较,观察组高于对照组(χ^(2)=5.404,P<0.05)。干预后,两组HAMA、HAMD评分均下降(P<0.05),且观察组均低于对照组(t=-8.993,-7.187;P<0.05);干预后,两组Kolcaba量表评分均升高(P<0.05),且观察组均高于对照组(t=10.804,P<0.05);两组VAS评分均降低(P<0.05),且观察组均低于对照组(t=-15.429,P<0.05);干预后,两组自我概念、健康知识水平、自我护理技能、自我护理责任感及ESCA量表总分均高于干预前(P<0.05),且观察组均高于对照组(t=6.692,3.663,5.640,5.183;P<0.05);干预后,两组口腔就诊、正确刷牙、平衡饮食得分均高于干预前(P<0.05),且观察组均高于对照组(t=4.295,7.013,7.427;P<0.05)。结论:对固定矫正器正畸患者采用认知行为干预效果显著,可提高治疗依从性,减轻心理负担,缓解疼痛,提高舒适度、自护能力和口腔保健自我效能。

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

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。