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

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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.

Key words： Patient-oriented cognitive rehabilitation training Vascular dementia Activities of daily living Cognitive function

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	LAN Lin

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LAN Lin. Application effect of patient-oriented cognitive rehabilitation training in elderly patients with vascular dementia[J]. 中国医药导报, 2018, 15(11): 158-161.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2018/V15/I11/158

[1] 张立，邢艳丽，熊伟南.血管性痴呆治疗的研究进展[J].医学综述，2015，21（8）：1414-1417.
[2] 贾建平.中国痴呆与认知障碍诊治指南[M].北京：人民卫生出版社，2012.
[3] 张拓红.人口老龄化对健康服务体系的影响[J].北京大学学报：医学版，2015，47（3）：380-383.
[4] 来梦，缪琴华，袁彩萍，等.护理干预在老年血管性痴呆患者中的疗效[J].当代护士，2015（6）：43-45.
[5] 谢颖桢，高颖，邹忆怀，等.血管性痴呆分期辨证及综合治疗的探讨[J].北京中医药大学学报，2001，24（3）：3-5.
[6] 王永瑞，王颖.老年血管性痴呆患者认知功能障碍的康复护理[J].中国实用神经疾病杂志，2014，17（7）：140-141.
[7] 田金州，韩明向，涂晋文，等.血管性痴呆诊断、辨证及疗效评定标准（研究用）[J].中国老年学，2002，22（5）：329-331.
[8] 王红霞，于丽.血管性痴呆康复护理的效果观察[J].中国医药指南，2015，13（22）：235-236.
[9] 胡秀英.综合康复护理在血管性痴呆患者中的应用[J].护士进修杂志，2013，28（24）：2290-2292.
[10] 吴萍，徐雨婷.多途径延续护理模式用于老年血管性痴呆患者护理中的临床效果[J].饮食保健，2016，3（20）：40-41.
[11] 聂莎，伍洁云，谭焕君.3R强化护理对血管性痴呆患者认知功能及生活质量的影响[J].广东医学，2012，33（15）：2362-2363.
[12] 刘荣荣，王慧英，朱明明，等.优质护理服务对血管性痴呆患者生活质量的影响研究[J].海军医学杂志，2015， 36（4）：358-360.
[13] 梁军华，贾建平.血管性痴呆、血管性认知障碍国际分类、诊断标准概述及2011年中国血管性认知障碍分类诊断标准解读[C].全国痴呆与认知障碍学术研讨会及高级讲授班，2015.
[14] 连士英.简易智能精神状态检查量表在评价血管性痴呆护理效果中的应用[J].齐鲁护理杂志，2014，20（11）：49-50.
[15] Xu G，Dong X，Niu X，et al. Cognitive Function and Prognosis of Multimodal Neuroimage-Guided Thrombectomy on Mild to Moderate Anterior Circulation Infarction Patients with Broadened Therapeutic Window：A Prospective Study [J]. Eur Neurol，2017，78（5/6）：257-263.
[16] Cho HY，Kim KT，Jung JH. Effects of computer assisted cognitive rehabilitation on brain wave，memory and attention of stroke patients：a randomized control trial [J]. J Phys Ther Sci，2015，27（4）：1029-1032.
[17] 吴毅，Esselman P.功能独立性评价量表作为康复治疗前后和随访的功能评价指标[J].中华物理医学与康复杂志，2001，23（6）：331-333.
[18] Yoo C，Yong MH，Chung J，et al. Effect of computerized cognitive rehabilitation program on cognitive function and activities of living in stroke patients [J]. J Phys Ther Sci，2015，27（8）：2487-2489.
[19] 陈晓飞，倪姣娜，林阁.计算机辅助技术对血管性痴呆患者的认知康复的疗效观察[J].心脑血管病防治，2013， 13（3）：196-199.
[20] 陶东霞，马兰，王璐，等.综合康复护理在老年血管性痴呆患者中的应用效果[J].实用心脑肺血管病杂志，2017， 25（6）：145-147.
[21] 江皋轩，崔梅，柴振芳，等.临床护理路径在血管性痴呆患者护理中的应用与效果评价[J].中国全科医学，2012， 15（17）：1999-2001.
[22] 宋建云.综合康复护理对老年血管性痴呆的认知功能及日常生活自理能力的影响[J].中国医药导报，2013，10（16）：152-154.
[23] 林强，李雪萍，程凯，等.早期认知康复训练对脑卒中患者认知功能、运动功能和日常生活活动能力的影响[J].中国康复医学杂志，2015，30（12）：1286-1288.
[24] 徐良雄，高卉，曾德志，等.药物联合康复训练治疗首发精神分裂症的疗效及其对患者认知功能的影响[J].海南医学，2016，27（3）：407-409.
[25] 常辛欣，房芳，何永生.计算机辅助认知康复训练治疗脑卒中后认知功能障碍的研究进展[J].神经疾病与精神卫生，2017，17（3）：212-215.
[26] 李桢，李冬梅.轻度认知障碍及痴呆症患者计算机辅助认知康复研究现状[J].中华护理杂志，2014，49（8）：986-990.