标题：老年综合评估技术在轻度老年认知障碍患者护理中的应用

      作者：马红芳，苗锐，谢芳，成毅    陕西省第二人民医院神经内科，陕西 西安 710006

      卷次： 2024年35卷4期

      【摘要】 目的 评价老年综合评估技术在轻度老年认知障碍患者护理中的应用效果。方法 选择2019年1月至2023年1月陕西省第二人民医院收治的110例轻度老年认知障碍患者进行研究，根据随机数表法将患者分为研究组和对照组各55例。两组患者均接受常规药物治疗，对照组在此基础上实施常规护理，观察组则实施基于老年综合评估技术的护理，均护理至出院。比较两组患者护理前和出院时的老年抑郁量表(GDS)、老年焦虑量表(GAI)、简易智力状态检查量表(MMSE)、蒙特利尔认知评估量表(MoCA)及生活质量评价量表(SF-36)评分变化，并比较两组患者对护理工作的满意率。结果 出院时，两组患者的GDS、GAI评分均降低，且观察组患者的GDS、GAI评分分别为(5.18±0.73)分、(5.38±1.10)分，明显低于对照组的(6.21±0.92)分、(7.34±1.26)分，差异均有统计学意义(P<0.05)；出院时，两组患者的MMSE、MoCA评分均升高，且观察组患者的MMSE、MoCA评分分别为(17.02±2.07)分、(18.03±2.76)分，明显高于对照组的(13.09±1.85)分、(13.02±2.15)分，差异均有统计学意义(P<0.05)；出院时，两组患者的躯体功能、社会功能、情感职能、精神状况评分均升高，且观察组患者的上述评分分别为(69.31±5.25)分、(73.12±6.01)分、(71.20±4.09)分、(73.29±5.11)分，明显高于对照组的(60.27±4.93)分、(64.21±5.82)分、(62.38±4.31)分、(65.39±4.90)分，差异均有统计学意义(P<0.05)；观察组患者对护理工作的满意率为94.55%，明显高于对照组的81.82%，差异有统计学意义(P<0.05)。结论 老年综合评估技术应用于轻度老年认知障碍患者中可缓解患者焦虑、抑郁状况，促进患者认知功能恢复，提高生活质量，患者满意率高，可在临床推广运用。
      【关键词】 老年；轻度认知障碍；老年综合评估技术；焦虑；抑郁；认知功能；生活质量
      【中图分类号】 R473.74 【文献标识码】 A 【文章编号】 1003—6350（2024）04—0590—05

Application of comprehensive geriatric assessment technique in nursing of the elderly with mild cognitiveimpairment.
MA Hong-fang, MIAO Rui, XIE Fang, CHENG Yi. Department of Neurology, Shaanxi Second ProvincialPeople's Hospital, Xi'an 710006, Shaanxi, CHINA
【Abstract】 Objective To evaluate the application effect of comprehensive geriatric assessment technique inthe nursing of the elderly with mild cognitive impairment. Methods A total of 110 elderly patients with mild cognitiveimpairment admitted to Shaanxi Second Provincial People's Hospital from January 2019 to January 2023 were selectedfor the study. According to the random number table method, the patients were divided into an observation group and acontrol group, with 55 patients in each group. Both groups received routine drug treatment. On this basis, the patients inthe control group received routine nursing, while the patients in the observation group received nursing based on compre-hensive geriatric assessment technology, until discharge. The scores of Geriatric Depression Scale (GDS), Geriatric Anxi-ety Inventory (GAI), Mini mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), and Quality ofLife Assessment Scale (SF-36) were compared between the two groups before nursing and at discharge, and the sat-isfaction rate of patients to nursing work was compared between the two groups. Results At discharge, the GDSand GAI scores of the two groups decreased, and the scores in the observation group were (5.18±0.73) points and(5.38±1.10) points, which were significantly lower than (6.21±0.92) points and (7.34±1.26) points in the control group(P<0.05). At discharge, the MMSE and MoCA scores of two groups increased, and the scores in the observation groupwere (17.02 ± 2.07) points and (18.03 ± 2.76) points, which were significantly higher than (13.09 ± 1.85) points and(13.02±2.15) points in the control group difference (P<0.05). At discharge, the scores of physical function, social func-tion, emotional function, and mental state in two groups increased, and the above indexes in the observation group were(69.31±5.25) points, (73.12±6.01) points, (71.20±4.09) points, and (73.29±5.11) points, which were significantly higherthan (60.27±4.93) points, (64.21±5.82) points, (62.38±4.31) points, and (65.39±4.90) points in the control group (P<0.05). The satisfaction rate in the observation group was 94.55%, which was significantly higher than 81.82% in the con-trol group (P<0.05). Conclusion The application of comprehensive geriatric assessment technique in elderly patientswith mild cognitive impairment can alleviate anxiety and depression, promote cognitive function recovery, improve qual-ity of life, with a high patient's satisfaction rate, which can be promoted and applied in clinical practice.
      【Key words】 Elderly; Mild cognitive impairment; Comprehensive geriatric assessment technique; Anxiety; De-pression; Cognitive function; Quality of life