认知训练对阿尔茨海默病患者情绪的影响

摘要

Objective To study the effect of cognitive training on mood disorders with mild and moderate Alzhemer's disease( AD) . Methods Ninety cases of AD were assigned into two groups. Inter ventional group were given cognitive training including attention training,rehabilitation therapy,working image nursing,intellectual training,daily life training and all-day health care. MMSE,HAMA and HAMD were evaluated every three months. Results The scores of HAMA,HAMD were lower compared with control group in first three months,and also lower than those before intervention in the third month ( P< 0. 05 ). The scores of HAMA,HAMD were lower than those before intervention in the ninth month. Conclusions General nursing could reduce mood disorders and delay the mental de-generation in AD.%目的：探讨认知训练对轻、中度阿尔茨海默病( AD)病人情绪障碍的影响。方法将90例轻、中度AD病人按入院顺序分为对照组、研究组各45例。对照组给予一般治疗及照护指导，研究组给予认知训练：注意训练、同时性言语及图形加工任务训练、继时性加工任务训练、计划系统训练以及日常生活能力训练，应用 MMSE、HAMA、HAM量表每3个月评估一次。结果干预后6个月，研究组的HAMA、HAMD分值开始比对照组及干预前低( P<0.05)，有一定的统计学意义，干预后9、12个月，研究组的MMSE分值高于对照组(P<0.05)。结论认知训练可以大大减轻AD病人的情绪障碍，延缓其智能减退的过程。