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

目的对老年血管性痴呆患者实施综合康复护理，探讨对认知功能和日常生活自理能力的影响，为临床的应用提供指导。方法选取中南大学湘雅医院于2010年3月-2012年8月收治的56例老年m管性痴呆患者，利用随机数字表法进行随机分组，分别设为研究组和对照组，每组各28例。其中研究组给予综合康复护理措施，而对照组给予常规护理措施。两组患者在干预前和干预后第4周末给予简易智力状态量表（MMsE）、长谷川痴呆量表（HDS）、临床痴呆量表（CDR）、韦氏记忆量表（WMS-RC）、简式Fugl-Meyer运动功能评分法（FMA）、日常生活能力量表（ADL）及社会功能活动调查表（FAQ）进行评分，并做好记录对比。结果研究组患者在于预后的各量表评分与干预前差异均有统计学意义（P〈0．05），而对照组在干预后。仅MMSE、CDR、HDS和FAQ评分相较于干预前差异均有统计学意义（P〈0．05），其余评分项目在干预前后差异均无统计学意义（P〉0．05）。干预后第4周末，研究组MMSE评分为（19．85±3．14），HDS评分为（24．84±2．38），WMS。RC评分为（68．23±8.72），FMA评分为（68．71±14．19），ADL评分为（67．38±14．28），FAQ评分为（5．42±1．05）。均高于对照组，差异有统计学意义（P〈0．05）。结论对于老年血管性痴呆患者，实施综合康复护理能够提高患者的认知功能及日常生活自理能力，取得较为满意的临床效果。

Influence of comprehensive rehabilitation nursing on cognitive function and ability of daily living activities of elderly patients with vascular dementia

Objective To implement comprehensive rehabilitation nursing among elderly patients with vascular demen- tia and discuss its influence on the cognitive function and ability of daily living activities in order to provide guidance for clinical application. Methods Fifty-six elderly patients with vascular dementia admitted to Xiangya Hospital of Central South University from March 2010 to August 2012 were selected and randomly divided into the study group and the control group using the random number table, with 28 patients in each group, The study group was given com- prehensive rehabilitation nursing measures and the control group was given conventional nursing measures, The mini- mental state examination （MMSE）, Hasegawa Dementia Scale （HDS）, Clinical Dementia Scale （CDR）, Wechsler Memory Scale （WMS-RC）, simple Fugl-Meyer motor function score （FMA）, activities of daily living scale （ADL） and social function activity questionnaire （FAQ） were given to both groups of patients before the intervention and 4 weeks after the intervention, and the results were recorded and compared. Results In the study group, there existed statistical dif ference in each scale score between before the intervention and after the intervention （P 〈 0,05）. In the control group, there existed statistical difference in only MMSE, CDR, HDS and FAQ scores between before the intervention and af ter the intervention （P 〈 0.05）, and the other scores were not different （P 〉 0.05 s）. At the end of the 4th week after the intervention, the study group had a MMSE score of （19.85±3.14）, HDS score of （24.84±2.38）, WMS-RC score of （68.23±8.72）, FMA score of （68.71±14.19）, ADL score of （67.38±14.28） and FAQ score of （5.42±1.05）, which were all higher than those of the control group, with significant difference （P 〈 0.05）. Conclusion For elderly patients with vascular dementia, the implementation of a comprehensive rehabilitation nursing can improve the patient＇s cognitive function and ability of daily living activities, achieving satisfactory clinical results.