Abstract：Objective To investigate the application effect of patients-oriented cognitive rehabilitation training in elderly patients with vascular dementia. Methods From November 2014 to July 2016, 63 cases of hospitalized elderly patients with vascular dementia in the Second People′s Hospital of Chengdu were selected as the research object and divided into the training group (32 cases) and the control group (31 cases) randomly according to the admission number. The control group was given routine nursing care, while the training group was given patient-oriented cognitive rehabilitation training on the basis of control group and the training time was 8 weeks. The functional independence scale (FIM), computer neuropsychological test (CNT) and mini mental state examination scale (MMSE) were used to evaluate the activities of daily living and cognitive function before and after training. Results Before training, there were no statistically significant differences in the scores of FIM and MMSE between the two groups (P ＞ 0.05). After training, the scores above were all higher than those of before training, and the scores in the training group were higher than those of control group, with statistically significant differences (P ＜ 0.05). Before training, there were no statistically significant differences in the scores of each item in CNT between the two groups (P ＞ 0.05). After training, except the language learning test (LLT), the testing results of digit span test (DST), visual span test (VST), visual learning test (VLT) and visual continuous performance test (VCPT), auditory controlled continuous performance test (ACCPT) in the training group were all significantly superior to the control group, and the sores in the training group were all superior to the control group, with statistically significant differences (P ＜ 0.05). Within the groups, after training the sores of DST, VST, VLT, VCPT and ACCPT in the training group were all significantly superior to those of before training; but there were no statistically significant differences in the control group (P ＞ 0.05). Conclusion During the process of caring elderly patients with vascular dementia, implementation of patients-oriented cognitive rehabilitation training may help to improve their activities of daily living and cognitive function, which is worthy of promotion and application in clinical.
兰琳. 以患者为中心的认知康复训练在老年血管性痴呆患者中的应用效果[J]. 中国医药导报, 2018, 15(11): 158-161.
LAN Lin. Application effect of patient-oriented cognitive rehabilitation training in elderly patients with vascular dementia. 中国医药导报, 2018, 15(11): 158-161.
2018, Vol. 15 
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