|
|
Cognitive function training combined with daily living ability training in the treatment of patients with Alzheimer′s disease |
CAI Liangling HUANG Zhenhe YU Zhigang |
Department of Geriatrics, Union Shenzhen Hospital of Huazhong University of Science and Technology, Guangdong Province, Shenzhen 518000, China |
|
|
Abstract Objective To explore the effect of cognitive function training combined with daily living ability training in the treatment of patients with Alzheimer′s disease. Methods A total of 160 patients with Alzheimer′s disease admitted to the Department of Geriatrics, Union Medical College Shenzhen Hospital, Huazhong University of Science and Technology from January 2020 to January 2021 were selected as the research objects. The patients were divided into control group and experimental group according to random number table method, with 80 patients in each group. The control group underwent routine nursing intervention. On this basis, patients in the experimental group received cognitive function training combined with daily living ability training, the mini-mental state examination (MMSE) and the Barthel index (BI) were used to evaluate the changes of cognitive function and activities of daily living of two groups before and after intervention. The behavioral pathology in Alzheimer′s disease (BEHAVE-AD) and the training/intervention effects of the two groups were compared before and after the intervention. Results The MMSE score and BI score of the two groups before intervention were not statistically different (P>0.05). After 6 months of intervention, the MMSE score and BI score of the two groups of patients were higher than those before the intervention, and the scores of experimental group were higher than those of the control group, the differences were statistically significant (P<0.05). The BEHAVE-AD scores of the two groups before intervention were not statistically significant (P>0.05). After 6 months of intervention, the BEHAVE-AD score of the two groups was lower than that before the intervention, and the score of experimental group was lower than that of the control group, the differences were statistically significant (P<0.05). The total training efficiency of the experimental group was better than that of the control group, and the difference was statistically significant (P<0.05). Conclusion Cognitive function training and daily living ability training for patients with Alzheimer′s disease can effectively improve the cognitive function of the patients and improve the ability of daily living of the patients. The training effect is significant and it is worthy of clinical application.
|
|
|
|
|
[16] |
凌慧芬,孙丽凯,杨剑霞.基于老年综合评估的延续护理方案在老年痴呆患者中的应用[J].护理学杂志,2018,33(12):76-79.
|
[1] |
仇成轩,闫中瑞,杜怡峰.延迟老年痴呆症发病的人群干预策略[J].中华行为医学与脑科学杂志,2017,26(6):501-506.
|
[2] |
朱琼,陈星星.阿尔茨海默病的流行病学调查及国内康复治疗现状分析[J].中华物理医学与康复杂志,2017,39(11):866-869.
|
[3] |
杜红娣,刘彩云,刘晓萱,等.基于蒙台梭利教育理论干预对轻中度老年痴呆患者认知功能及生活质量的影响[J].护理学报,2019,26(5):59-62.
|
[4] |
中国痴呆与认知障碍写作组,中国医师协会神经内科医师分会认知障碍疾病专业委员会. 2018中国痴呆与认知障碍诊治指南(二):阿尔茨海默病诊治指南[J].中华医学杂志,2018,98(13):971-977.
|
[5] |
Folstein MF,Folstein SE,Mchugh PR.“Mini-mental state”:a practical method for grading the cognitive state of patients for the clinician[J].J Psychiatr Res,1975,12(3):189-198.
|
[6] |
The National Institute of Neurological Disordersand Strokert-PA Stroke Study Group.Tissue plasminogen activator for acuteischemic stroke[J].New Eng J Med,1995,333(5):1581-1587.
|
[7] |
何继柔.“通督益髓”针刺法联合安理申治疗阿尔茨海默病的临床疗效观察[D].南京:南京中医药大学,2021.
|
[8] |
李渊.认知功能训练联合日常生活能力训练治疗老年痴呆患者的效果观察[J].中国社区医师,2020,36(8):141-142.
|
[9] |
覃远丽,郝军锋,萧浩枫.情感护理法对中度老年痴呆患者精神状态及生活能力的影响[J].中国医药科学,2020, 10(3):147-149,250.
|
[10] |
李虹,孙国钧.对老年痴呆患者采取早期认知康复训练的临床意义研究[J].中国现代药物应用,2020,14(22):245-246.
|
[11] |
周荣梅,葛兆霞,张智.医护一体化模式在老年痴呆症患者中的应用[J].中华现代护理杂志,2017,23(30):3859-3862.
|
[12] |
徐红英,陈琳霞,陈华.格林模式对轻中度老年痴呆患者认知功能,自理能力及生活质量的影响[J].广东医学,2019,40(11):1629-1632,1636.
|
[13] |
尹大维,潘晓明.认知功能训练联合日常生活能力训练治疗老年痴呆疗效观察[J].中国社区医师,2019,35(28):49,51.
|
[14] |
吴一嫣,程琳,徐明莉.益智训练对老年痴呆患者认知水平及生活质量的影响[J].国际护理学杂志,2020,39(15):2697-2699.
|
[15] |
吴仕英,黄兴玲,梁思宇,等.多学科整合认知干预对老年痴呆患者认知和日常生活能力的影响[J].成都医学院学报,2020,15(3):388-392.
|
|
|
|