摘要
目的评价在老年阿尔茨海默病患者的工作中开展多感官刺激联合早期认知康复训练的实际价值。方法100例老年阿尔茨海默病患者,以随机取样法分为观察组和对照组,每组50例。对照组给予早期认知康复训练,观察组在对照组基础上联合多感官刺激干预。对比两组认知功能改善情况[蒙特利尔认知评估量表(MoCA)评分、简易精神状态检查量表(MMSE)评分]、精神行为[阿尔茨海默病病理行为评定量表(BEHAVE-AD)评分]、痴呆症状[长谷川痴呆量表(HDS)评分]、肢体功能变化情况[Fugl-Meyer运动功能评估量表(FMAS)评分]、生活质量[简明健康调查量表(SF-36)评分]。结果观察组患者干预后MoCA评分(22.12±2.36)分、MMSE评分(22.52±1.45)分高于对照组的(20.55±2.45)、(20.33±1.22)分(P<0.05)。观察组干预后BEHAVE-AD评分(5.12±1.00)分、HDS评分(19.58±1.55)分较对照组的(11.41±2.56)、(15.26±1.33)分优(P<0.05)。干预后,观察组上、下肢运动功能评分分别为的(52.56±4.56)、(28.56±3.33)分,优于对照组的(48.56±3.33)、(23.33±2.45)分(P<0.05)。观察组患者生理机能、情感职能、社会功能、躯体疼痛、精神健康、精力、生理职能、总体健康评分分别为(80.23±3.36)、(77.85±3.56)、(82.36±3.31)、(65.23±3.33)、(72.52±2.52)、(66.56±2.56)、(75.25±2.12)、(85.23±2.33)分,明显高于对照组的(71.12±3.33)、(75.12±2.15)、(80.23±2.15)、(60.55±2.33)、(70.12±2.15)、(63.33±2.33)、(71.12±2.48)、(80.22±2.25)分(P<0.05)。结论对老年阿尔茨海默病患者予以多感官刺激联合早期认知康复训练的积极性较显著,可有效控制患者的精神行为、改善痴呆症状,继而强化其肢体功能,全面提高患者认知功能和生活质量。
Objective To evaluate the practical value of conducting multi-sensory stimulation combined with early cognitive rehabilitation training in elderly patients with Alzheimer's disease.Methods 100 elderly patients with Alzheimer's disease were randomly divided into an observation group and a control group by random sampling,with 50 cases in each group.The control group was given early cognitive rehabilitation training,while the observation group was combined with multi-sensory stimulation intervention on the basis of the control group.Comparison was made on the improvement of cognitive function[Montreal Cognitive Assessment Scale(MoCA)score,Mini-Mental State Examination Scale(MMSE)score],mental behavior[Behavior Pathology in Alzheimer's Disease Rating Scale(BEHAVE-AD)score],dementia symptoms[Hasegawa Dementia Scale(HDS)score],and changes in limb function[Fugl-Meyer Motor Assessment Scale(FMAS)score],quality of life[36-Item Short Form Health Survey Scale(SF-36)score]between the two groups.Results The observation group had MoCA score of(22.12±2.36)points and MMSE score of(22.52±1.45)points after the intervention,which were higher than those in the control group[(20.55±2.45)and(20.33±1.22)points](P<0.05).After the intervention,the observation group had BEHAVE-AD score of(5.12±1.00)points and HDS score of(19.58±1.55)points,which were better than those in the control group[(11.41±2.56)and(15.26±1.33)points](P<0.05).After the intervention,the motor function scores of the upper and lower limbs in the observation group were(52.56±4.56)and(28.56±3.33)points,which were better than those in the control group[(48.56±3.33)and(23.33±2.45)points](P<0.05).The scores of physical function,role-emotional,social function,physical pain,mental health,energy,role-physical and overall health of the patients in the observation group were(80.23±3.36),(77.85±3.56),(82.36±3.31),(65.23±3.33),(72.52±2.52)and(66.56±2.56),(75.25±2.12),and(85.23±2.33)points,which were significantly higher than those in the control group[(71.12±3.33),(75.12±2.15),(80.23±2.15),(60.55±2.33),(70.12±2.15),(63.33±2.33),(71.12±2.48),and(80.22±2.25)points](P<0.05).Conclusion Multisensory stimulation combined with early cognitive rehabilitation training is significantly effective for elderly Alzheimer's patients.It can effectively control their mental behavior,improve dementia symptoms,strengthen their limb function,and comprehensively improve their cognitive function and quality of life.
作者
辛欣
高淑敏
XIN Xin;GAO Shu-min(Geriatric Ward,Shenyang Mental Health Center,Shenyang 110000,China)
出处
《中国实用医药》
2025年第19期159-162,共4页
China Practical Medicine
关键词
阿尔茨海默病
多感官刺激
早期认知康复训练
认知功能
生活质量
老年
Alzheimer's disease
Multi-sensory stimulation
Early cognitive rehabilitation training
Cognitive function
Quality of life
Old age
