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社区轻度认知功能障碍老年人的交互式群组管理

社区轻度认知功能障碍老年人的交互式群组管理

ISSN:1001-4152
2021年第36卷第13期
社区护理
潘晶雪,陈利群,王敬丽,刘成成,徐惠琴,谢博钦 Pan Jingxue,Chen Liqun,Wang Jingli,Liu Chengcheng,Xu Huiqin,Xie Boqin

目的 探讨交互式群组管理对社区轻度认知功能障碍老年人认知功能、日常生活能力和生活质量的效果.方法 采用类实验研究方法,将轻度认知功能障碍老年人分为干预组35例,对照组36例.干预组接受为期12周的交互式群组管理活动,对照组实施常规健康指导.两组在干预前后分别采用蒙特利尔认知评估量表基础版、日常生活能力量袁、阿尔茨海默病生命质量量表进行评价.结果 干预后,干预组认知功能、生命质量得分高于干预前水平和对照组同期水平(均P<0.01),干预后,干预组日常生活能力得分低于干预前水平(P<0.05),但与对照组同期水平比较,差异无统计学意义(P>0.05).结论 交互式群组管理是基于互联网平台和线下群组活动交融,是一种有效的社区轻度认知功能障碍老年人管理模式,可改善其认知功能和生命质量.

Objective To explore the effects of interactive group activity based management on cognitive function, ability of daily living and quality of life among community elderly patients with mild cognitive impairment (MCI). Methods Elderly patients with MCI were recruited in this quasi-experimental study and divided into 2 groups.The intervention group (n=35) received interactive group activity based management for 12 weeks, while the control group (n=36) received routine health guidance. All patients completed the Montreal Cognitive Assessment-Basic (MoCA-B), the Activity of Daily Living Scale and Quality of Life in Alzheimer′s Disease Scale (QoL-AD) at baseline and 12 weeks into the intervention. Results After the intervention, the scores of cognitive function and quality of life in the intervention group were significantly higher than baseline level and those of the control group (P<0.01 for all), and the scores of activity of daily living in the intervention group were lower than baseline (P<0.05), while showed no significant difference with those of the control group (P>0.05). Conclusion Interactive group activity based management, which integrates internet platform and offline community group activity, is an effective disease management model for patients with MCI living in community, and can improve patients′ cognitive function and quality of life.

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ISSN:1001-4152
2021年第36卷第13期
社区护理

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