医院-社区延续护理在老年轻度认知障碍患者中的应用

摘要

Objective To explore the effect of hospital-community continuous nursing on cognitive function and daily living ability of elderly patients with mild cognitive impairment(MCI). Methods From August 2014 to February 2015,45 MCI patients were chosen from Huashan Hospital,Fudan University. They were given hospital-community continuous nursing. The patients and their family members were assessed before and after the intervention,including MiniCMental State Examination(MMSE),Barthel index(BI)of daily living ability, and family members'cognition of MCI. Results The score of MMSE was slightly improved after intervention compared with that before intervention,but there was no difference between three-month and six-month groups. After intervention the BI score and family members'cognition level were significantly higher than those before intervention(P < 0. 05). Conclusion The hospital-community continuous nursing model has value in improving daily living ability of MCI patients and cognition level of family members.%目的 创建医院-社区延续护理模式,探讨延续护理服务对老年轻度认知障碍(mild cognitive impairment,MCI)患者认知和生活行为能力的影响.方法 选取2014年8月—2015年2月在复旦大学附属华山医院神经内科及门诊就诊的45例MCI患者,对其进行医院-社区联动的延续护理,干预前后分别对患者及其家属进行评估,患者使用简易精神状态量表(Mini-Mental State Examination,MMSE)、日常生活活动能力Barthel指数(Barthel index,BI)进行评估,家属进行该疾病相关知识掌握程度的评估.结果 延续护理干预后3个月和6个月MMSE平均分虽无统计学意义(P>0.05),但与干预前比较平均分略高.干预后3个月和6个月BI得分和家属对疾病相关知识掌握得分均高于干预前,差异有统计学意义(P<0.05).结论 医院-社区延续护理模式能提高老年MIC患者的生活行为能力,提高家属对疾病的认知,对延缓MCI进程有较好的临床实际意义.