摘要
目的探讨社区系统干预改善老年轻度认知障碍(mild cognitive impairment,MCI)患者认知功能的效果。方法 2013年1-6月,采用随机数字表法从金华市开发区(对照组)和婺城区(观察组)前期筛查所得的老年MCI患者中各抽取45例为研究对象。观察组患者实施为期3个月的以群体教育联合个性化指导的社区MCI系统干预方案,对照组患者接受社区常规的健康教育。分别在干预后第1、3、6个月采用蒙特利尔认知评估量表(the montreal cognitive assessment,MoCA)对两组患者进行认知功能评价。结果干预后第1个月,两组患者MoCA总评分和各维度评分差异均无统计学意义(均P>0.05);在干预后第3、6个月,观察组患者的MoCA总评分和记忆、注意力、语言流畅、定向力4个维度评分均高于对照组患者,差异均有统计学意义(均P<0.01)。MoCA总评分均随干预时间推移而变化,干预方法与干预时间存在交互作用(P<0.01)。结论社区系统干预能有效提高老年MCI患者的认知功能。
Objective To explore the effect of community system intervention in improving the cognitive function of the elderly patients with mild cognitive impairment （MCI）. Methods Using cluster random sampling method for survey data collection. A total of 90 cases were collected and equally divided into Jinhua（observational group） and Wu City（control group）according to their attribution region. The observational group patients received MCI community system intervention for 3 months which was made up of community education combination with per- sonalized guidance, while the control group patients were administrated by routine community health education. The cognitive function of two groups of patients was evaluated after the intervention respectively in 1st, 3rd and 6th month by using the Montreal Cognitive Assessment. Results First month after intervention, the MoCA score of two groups of patients and the differences of the score of each dimension hoth had no statistical significance（P〉 0. 05）. The scores of the cognitive function and four dimensions including memory, attention, language fluency and orientation in observation group were all significantly higher than those in control group （P〈0.01） in 3rd and 6th months after the intervention. The scores of the cognitive function changed according to the intervention time, and intervention methods and intervention time had the inter- action effect （P〈0, 01）. Conclusion nitive function of the elderly patients The community system intervention can effectively improve the cog- with mild cognitive impairment.
出处
《解放军护理杂志》
CSCD
2014年第2期28-31,共4页
Nursing Journal of Chinese People's Liberation Army
基金
金华市科学技术研究计划项目基金资助(2011-3-016)
关键词
轻度认知障碍
社区干预
认知功能
mild cognitive impairment （MCI） community intervention cognitive function
