手指操训练对改善轻度老年痴呆患者认知功能的研究

目的 观察系统的全套手指操对改善轻度老年痴呆患者认知行为的有效性,从而为轻度老年痴呆患者实施系统的康复训练提供理论依据。方法 对入住第六人民医院老年科的老年痴呆患者,选择60例轻度老年痴呆患者,分为对照组(30例)和实验组(30例)。在6个月时间里实验组由专业医务人员指导、培训患者熟练掌握手指操运动,在示范1 个月后领操,每周的三天里定时做手指操,持续6个月,并记录考勤。对照组每周的三天里给患者提供手指功能活动的用具,让患者根据自己的兴趣进行手指的自由活动。在干预前和干预后的第6个月采用蒙特利尔认知评估(MoCA)、简易智能状态检查量表(MMSE)、日常生活能力评分量表(ADL) 这三个量表评价干预效果。结果：将干预效果数据收集,用统计学软件SPSS13.0作统计学处理,发现手指操干预第6个月后,实验组的MMSE 评分显著高于对照组干预后评分(P<0.05) 。实验组干预后的MoCA 评分显著高于对照组干预后评分(P<0.05) 。实验组ADL 评分显著低于对照组干预后(P<0.05) 。结论：对轻度老年痴呆患者定期进行全套系统的手指操训练,可提高或保持日常生活能力,对记忆的改善有一定的提高,能保持其认知水平,从而延缓认知受损的进程。

Finger exercise training on the improvement of Mild cognitive function of patients with Alzheimer disease research

objective To Observation system of the full set of finger exercises to improve mild dementia patients treated with cognitive behavior validity, thus for mild Alzheimer implementation of systematic rehabilitation training and provide a theoretical basis. Methods In the Sixth People"s Hospital Department of aged dementia patients,60 cases of mild dementia patients, divided into control group (30 cases) and experimental group (30 cases). In6 months time in the experimental group by medical professionals guidance, training with master finger exercises, in the model after 1 months of leading, weekly three days time to do a finger exercises, continued for 6 months, and attendance records. The control group every three days to patients with finger function activity kits, let patients according to their interest in finger free activities. Before and after intervention in the intervention of sixth months using the Montreal cognitive assessment ( MoCA ), Mini-Mental State Examination scale ( MMSE ), ability of daily living scale ( ADL ) the three scale evaluation of intervention effect. Results The intervention effect on data collection, using the statistical software SPSS13.0were analyzed statistically, found the finger exercise intervention after sixth months, the experimental group "s MMSE score was significantly higher than control group stem prognostic score ( P < 0.05). The experimental group after the intervention of the MoCA score was significantly higher than the control group do prognostic score ( P < 0.05). The experimental group ADL score was significantly lower than the control group (P < 0.05) intervention. Conclusion For mild dementia patients regularly for a full set of system of finger exercises, may improve or maintain the ability of daily living, on memory improvement has been improved to a certain extent, can maintain their cognitive level, thereby delaying the onset of impaired cognition process.