摘要目的 改善轻度认知障碍(MCI)患者的认知功能,提高患者智力,减缓大脑衰退.方法 将186例MCI患者分为实验组96例和对照组90例,实验组实施序贯护理10个月,内容包括智力功能训练、强化记忆训练、计算能力、定向力及逻辑思维等训练;对照组实施常规护理.干预前后采用简明精神状态量表(MMSE)、日常生活能力量表(ADL)等进行评定.结果 干预后实验组患者的MMSE、ADL得分较对照组明显改善,记忆商、无意义图形回忆、即刻回忆和延迟回忆干预前后差值也较对照组明显改善.结论 序贯护理能有效改善MCI患者的认知功能,延缓认知功能减退的过程.

abstractsObjective To provide cognitive function of patients with mild cognitive dysfunction (MCD) , enhance their intelligence, slow down degeneration of elderly. Methods 186 MCI patients were divided into two groups. 96 cases in experimental and 90 cases in control group, patients in experimental received sequential care of nursing for ten months, which contained training of intelligence function, memory strengthening, calculation ability, orientation and logical thinking; Routine nursing care was executed in control group, intervention results were evaluated by Wechsler memory scale (WMS), minimental state examination (MMSE) and activities of daily living (ADL) . Results There was significantly difference in MMSE and ADL level before and after interventions in experimental group. Memory quotient, meaningless picture recognition, word immediate recall and word delayed recall in the patients with MCD were significantly improved after intervention, also the same compared with control group. Conclusions Sequential care of nursing can improve the cognitive function actively and delay cognitive degeneration in MCI.