摘要
目的:探讨团体认知刺激疗法在老年认知障碍患者中的应用效果。方法:选取医院收治的80例老年认知障碍患者作为研究对象,采用随机数字表法分为对照组与观察组,每组40例。对照组仅给予防治痴呆的药物治疗联合常规护理,观察组在对照组基础上实施团体认知刺激疗法,两组均干预12周。比较两组干预前后心理状态、认知功能、生活质量及日常生活能力。结果:干预后,观察组患者NMRE-C评分低于对照组(P<0.05);观察组患者简易智能精神状态量表(MMSE)定向力、记忆力、注意力、计算力等各维度评分均高于对照组(P<0.05);观察组患者世界卫生组织生活质量测定量表简表(WHOQOL-BREF)生理、心理、社会关系、环境等各维度评分均高于对照组(P<0.05);观察组患者ADL评分高于对照组(P<0.05)。结论:团体认知刺激疗法可以有效改善老年认知障碍患者的消极情绪调节能力,提升认知功能与日常生活能力,进而提高患者生活质量,具有较高的临床应用价值。
Objective:To explore the application effect of group cognitive stimulation therapy in elderly patients with cognitive impairment.Methods:80 elderly patients with cognitive impairment in our hospital were selected as the research object and randomly divided into control group and observation group,40 cases in each group.The control group was only given drug treatment to prevent and treat dementia,and the observation group was given group cognitive stimulation therapy on the basis of the control group.Both groups were intervened for 12 weeks.The psychological status,cognitive function,quality of life and activities of daily living were compared between the two groups before and after the intervention.Results:Following the intervention,the observation group demonstrated significantly reduced NMRE-C scores compared to the control group(P<0.05).In cognitive assessments using the Mini-Mental State Examination(MMSE),the intervention group outperformed controls across multiple domains including spatial awareness,recall functions,concentration levels,and computational skills(P<O.05).Regarding quality of life metrics measured by the WHOQOL-BREF instrument,the observation group showed superior results in physical health parameters,emotional well-being,interpersonal connections,and living conditions(P<O.05).Additionally,the intervention group achieved higher scores than controls on the Activities of Daily Living(ADL)assessment(P<O.05).Conclusion:group cognitive stimulation therapy can effectively improve the negative emotion regulation ability of elderly patients with cognitive impairment,improve cognitive function and daily living ability,and then improve the quality of life of patients,which has high clinical application value.
作者
王丹
章敏
WANG Dan;ZHANG Min(The Second Affiliated Hospital of Nanchang University,Nanchang 330006,Jiangxi)
出处
《安徽医专学报》
2026年第1期135-138,共4页
Journal of Anhui Medical College
基金
江西省中医药管理局项目(编号:2023B0347)。
关键词
老年认知障碍
团体认知刺激疗法
心理状态
认知功能
生活质量
日常生活能力
senile cognitive impairment
group cognitive stimulation therapy
psychological status
cognitive function
quality of life
ability of daily living
