南苑地区老年轻度认知损害社区干预效果评价研究

目的对轻度认知损害（MCI）患者进行社区干预,评价干预效果。方法采用随机抽样的方法,选择2009年2～7月的MCI患者并随机分为对照组（n=180）和干预组（n=90）;对干预组实施综合干预,而对照组则不给予任何处理,两个组别分别在干预前、干预后6、12个月分别进行问卷调查。结果干预组的老年痴呆（AD）知识知晓率、简易精神状况量表（MMSE）总分、生活活动能力量表（ADL）总分在干预后6、12个月时均明显好于对照组,差异有高度统计学意义（P〈0.01）;随着干预时间的推移,干预组的MMSE总分、ADL总分均有增高的趋势（P〈0.05）。结论通过社区积极干预治疗MCI患者,有效缓解了认知功能损害,预防AD的发生。

Community intervention effect study on mild cognitive impairment of the aged in Nanyuan District

Objective To intervene mild cognitive impairment（MCI） of aged in communities of Nanyuan District,and to evaluate the intervention effect.Methods With random sampling method,the aged from February to July in 2009 were divided into control group（n=180） and intervention group（n=90）.The intervention group was carried out with comprehensive intervention measures,the control group wasn＇t intervened,then questionnaire investigations were taken before the in tervention and 6,12 months after the intervention in the two groups.Results The rate of AD knowledge,total scores of MMSE and ADL of the intervention group 6,12 months after intervention were all much higher than those of the control group,the differences were all statistically significant（P0.01）.With the following of intervention time,the total scores of MMSE and ADL of the intervention group were all found improved（P0.05）.Conclusion Active intervention and treatment of MCI patients in community can effectively relieve recognition injury and prevent the occurrence of AD.