杨群,邓巧丽,李秀君,易春艳,杨密,吴历.基于遗忘曲线的自我管理对轻度认知功能障碍患者认知功能、日常生活能力及疗效的影响[J].四川精神卫生杂志,2022,35(2):161-164.Yang Qun,Deng Qiaoli,Li Xiujun,Yi Chunyan,Yang Mi,Wu Li,Effect of forgetting curve based self-management on cognitive function, daily living ability and treatment efficacy of patients with mild cognitive impairment[J].SICHUAN MENTAL HEALTH,2022,35(2):161-164
基于遗忘曲线的自我管理对轻度认知功能障碍患者认知功能、日常生活能力及疗效的影响
Effect of forgetting curve based self-management on cognitive function, daily living ability and treatment efficacy of patients with mild cognitive impairment
投稿时间:2022-03-20  
DOI:10.11886/scjsws20220320002
中文关键词:  轻度认知功能障碍  遗忘曲线  自我管理  日常生活能力  疗效
英文关键词:Mild cognitive impairment  Forgetting curve  Self-management  Daily living ability  Efficacy
基金项目:南充市科技局项目(项目名称:基于遗忘曲线的自我管理对轻度认知功能障碍患者的临床疗效研究,项目编号:20YFZJ0051)
作者单位邮编
杨群 南充市身心医院四川 南充 637000 637000
邓巧丽 南充市身心医院四川 南充 637000 637000
李秀君 南充市身心医院四川 南充 637000 637000
易春艳 南充市身心医院四川 南充 637000 637000
杨密 南充市身心医院四川 南充 637000 637000
吴历* 川北医学院附属医院四川 南充 637000 637000
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中文摘要:
      目的 探讨基于遗忘曲线的自我管理对轻度认知功能障碍患者认知功能、日常生活能力及疗效的影响。方法 于2020年4月-2021年6月采用简单随机抽样选取南充市身心医院及高坪区乐得乐老年公寓中符合《中国防治认知功能障碍专家共识》诊断标准的轻度认知功能障碍患者共162例,采用随机数字表法分为研究组与对照组各81例。两组均接受常规干预,研究组在此基础上进行基于遗忘曲线的自我管理干预,干预时间3个月。采用蒙特利尔认知评估量表(MoCA)评估患者认知功能,采用日常生活能力量表(ADL)评定患者日常生活能力,并对比两组疗效。结果 干预后,两组MoCA及ADL评分均较干预前高(t对照组=25.004、12.503,t研究组=48.211、24.949,P均<0.01),且干预后研究组MoCA及ADL评分均高于对照组(t=28.527、9.433,P均<0.01)。对照组总有效率低于研究组(86.42% vs. 96.30%),差异有统计学意义(χ2=5.004,P<0.05)。结论 基于遗忘曲线的自我管理可能有助于提升轻度认知功能障碍患者认知功能、日常生活能力及治疗效果。
英文摘要:
      Objective To discuss the effect of forgetting curve based self-management on cognitive function, daily living ability and treatment efficacy of patients with mild cognitive impairment (MCI).Methods Simple random sampling method was adopted to enroll 162 MCI patients who met the diagnostic criteria of "Expert Consensus on the Prevention and Treatment of Cognitive Impairment in China" in Nanchong Physical and Mental Hospital and Gaoping Ledele Seniors-Oriented Apartment from April 2020 to June 2021. The selected individuals were classified into study group and control group according to random number table methods, each with 81 cases. Both groups received routine intervention, based on this, study group received the forgetting curve based self-management. The interventions lasted for 3 months in two groups, and patients were assessed using Montreal Cognitive Assessment Scale (MoCA) and Activity of Daily Living Scale (ADL) at the baseline and end of interventions. Then the clinical efficacy was compared between groups.Results After intervention, an increase was found in MoCA and ADL scores in both groups (tcontrol group=25.004, 12.503, tstudy group=48.211, 24.949, P<0.01), and post-intervention MoCA and ADL scores in study group were higher than those in control group (t=28.527, 9.433, P<0.01). The overall efficacy rate was 86.42% in control group, which was lower than 96.30% in study group, with statistical difference (χ2=5.004, P<0.05).Conclusion Forgetting curve based self-management may ameliorate the cognitive function and daily living ability in MCI patients, thus improving the treatment efficacy.
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