轻中度老年痴呆患者认知训练效果研究.docxVIP

轻中度老年痴呆患者认知训练效果研究 　　[摘要] 目的 探?轻中度老年痴呆患者认知训练的效果。 方法 按照随机数字表法将XX年1月～XX年7月100例轻中度老年痴呆患者分组。对照组采取常规的治疗护理方案，认知训练组在对照组基础上给予患者认知训练，训练12个月。比较两组轻中度老年痴呆康复总有效率；干预前后患者生存质量量表评分、BI指数、汉密尔顿抑郁量表评分；干预前后患者简易智能状态量表评分；家属满意度。 结果 认知训练组轻中度老年痴呆康复总有效率高于对照组；干预前两组生存质量量表评分、BI指数、汉密尔顿抑郁量表评分相近；干预后认知训练组生存质量量表评分、BI指数、汉密尔顿抑郁量表评分优于对照组。干预前两组简易智能状态量表评分相近；干预后认知训练组简易智能状态量表评分优于对照组。认知训练组家属满意度高于对照组。 结论 轻中度老年痴呆患者认知训练效果确切，可有效改善患者认知功能，减轻其抑郁情绪，促进其生活能力和生活质量的提高，可提高家属满意度，值得推广和应用。　　[关键词] 轻中度老年痴呆患者；认知训练；简易智能状态量表；生存质量　　[中图分类号] [文献标识码] B [文章编号] 1673--0072-03　　[Abstract] Objective To investigate the effect of cognitive training on mild to moderate senile dementia. Methods A total of 100 patients with mild to moderate dementia from January XX to July XX were divided into groups， according to the random number table method. The control group was treated with conventional treatment and nursing program， and the cognitive training group was given cognitive training for 12 months based on that of the control group. The total effective rate of rehabilitation， the quality of life scale score， BI index and Hamilton depression scale，simple intelligent state scale and family members satisfaction of patients between two groups before and after intervention were compared. Results The total effective rate of rehabilitation of mild to moderate senile dementia in the cognitive training group was higher than that of the control group. The QOL score， BI index and Hamilton depression scale scores of the two groups before intervention were similar. The quality of life scale score， BI index and Hamilton depression scale scores of cognitive training group was better than that in control group. Before the intervention， the scores of simple intelligent state scale between two groups were similar. The score of simple intelligent state scale in cognitive training group was better than that in control group after intervention. Family members satisfaction in cognitive training group was higher than that in control group. Conclusion Cognitive t