【摘要】 目的探讨在糖尿病伴轻度认知功能障碍患者的护理中应用怀旧疗法的效果。方法将76例糖尿病伴轻度认知功能障碍患者采用随机数字表法分为观察组和对照组,各38例。2组均给予常规药物治疗与护理,观察组在此基础上实施为期12周的怀旧疗法。分别在干预前后比较2组的糖化血红蛋白(HbA1c)、糖尿病特异性生存质量量表(DSQL)及蒙特利尔认知量表(MoCA)得分。结果共68例患者完成研究,干预12周后观察组MoCA得分显著高于对照组(P<0.05);HbA1c值、DSQL总得分及生理功能、心理功能、社会关系3个维度得分均显著低于对照组(P<0.05)。结论怀旧疗法有助于糖尿病伴轻度认知功能障碍患者控制血糖水平,改善认知功能,提高其生存质量。更多还原

【Abstract】 Objective To explore the effect of reminiscence therapy on patients with diabetes combining with mild cognitive impairment.Methods A total of 76 patients with diabetes combining with mild cognitive impairment were divided into control group and observation group using a random number table,and 38 cases in each group.Both groups were received routine medical treatment and nursing care,and the observation group were additionally treated with the reminiscence therapy for 12 weeks.Before and after the intervention,glycosylated hemoglobin (HbA1c),Diabetes Specific Quality of Life Scale (DSQL) and Montreal Cognitive Assessment (MoCA) in the two groups were compared.Results Totally 68 patients completed the study.After 12 weeks of intervention,MoCA scores in the observation group were significantly higher than those in the control group (P<0.05).HbA1c and DSQL scores including "physiological function" "mental health" and "social capability" were significantly lower than those in the control group (P<0.05).Conclusion Reminiscence therapy have a positive impact on the blood sugar and cognitive function of patients with diabetes combining with mild cognitive impairment,and can promote their quality of life.更多还原