认知行为干预对老年COPD合并认知衰弱患者的效果评价

doi:10.3760/cma.j.issn.1007-1245.2024.16.015

国际医药卫生导报 ›› 2024, Vol. 30 ›› Issue (16): 2707-2712.DOI: 10.3760/cma.j.issn.1007-1245.2024.16.015

认知行为干预对老年COPD合并认知衰弱患者的效果评价

王伏^1,2 张俊梅³ 程奕飒⁴ 毛盼² 朱杉杉²

¹新乡医学院，新乡　453003；²河南省人民医院老年医学科河南省护理医学重点实验室郑州大学人民医院，郑州　450000；³河南省人民医院护理部河南省护理医学重点实验室郑州大学人民医院，郑州　450000；⁴郑州大学第一附属医院麻醉科，郑州　450000

收稿日期:2024-05-09 出版日期:2024-08-15 发布日期:2024-09-04
通讯作者: 张俊梅，Email：m18537199980@163.com
基金资助:
河南省医学科技攻关计划（LHGJ20230039）

Evaluation of the effect of cognitive-behavioural intervention on elderly patients with chronic obstructive pulmonary disease complicated with cognitive decline

Wang Fu^1,2, Zhang Junmei³, Cheng Yisa⁴, Mao Pan², Zhu Shan²

¹Xinxiang Medical University, Xinxiang 453003, China; ²Department of Geriatric Medicine, Henan Provincial People's Hospital, Henan Key Laboratory of Nursing Medicine, People's Hospital Affiliated to Zhengzhou University, Zhengzhou 450000, China; ³Nursing Department, Henan Provincial People's Hospital, Henan Key Laboratory of Nursing Medicine, People's Hospital Affiliated to Zhengzhou University, Zhengzhou 450000, China; ⁴Department of Anesthesiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450000, China

Received:2024-05-09 Online:2024-08-15 Published:2024-09-04
Contact: Zhang Junmei, Email: m18537199980@163.com
Supported by:
Henan Province Medical Science and Technology Research Plan (LHGJ20230039)

摘要/Abstract

摘要：

目的　探究认知行为干预在老年慢性阻塞性肺疾病（COPD）合并认知衰弱患者中的应用效果。方法　选取2021年3月至2022年3月在河南省人民医院就诊的COPD合并认知衰弱患者120例，简单随机分为对照组（60例）和观察组（60例）。对照组男38例，女22例，年龄60～78（69.25±4.19）岁，病程1～15（8.00±1.53）年，肺功能分级：Ⅱ级35例，Ⅲ级25例。观察组男40例，女20例，年龄60～78（69.58±4.00）岁，病程1～15（8.15±1.40）年，肺功能分级：Ⅱ级38例，Ⅲ级22例。对照组予以常规护理干预，观察组在对照组基础上予以认知行为干预。患者出院后，通过门诊复诊或电话随访持续对其干预6个月，并进行为期1年的随访。比较两组衰弱水平、认知功能评分、自护能力以及生活质量评分。计量资料用t检验，计数资料用χ²检验。结果　干预6个月后、1年后，观察组衰弱评分分别为（2.57±0.11）分、（2.00±0.18）分，低于对照组的（3.00±0.15）分、（2.71±0.20）分（t=17.906、20.439，均P<0.05）；观察组认知功能评分分别为（22.68±1.05）分、（25.69±1.20）分，高于对照组的（20.36±1.00）分、（23.18±1.11）分（t=12.394、11.894，均P<0.05）；观察组自护能力评分分别为（83.15±5.28）分、（88.63±6.47）分，高于对照组的（75.26±4.16）分、（80.23±5.18）分（t=9.092、7.581，均P<0.05）；观察组生活质量评分分别为（45.60±3.09）分、（40.23±2.69）分，低于对照组的（50.18±4.00）分、（45.18±3.15）分（t=7.019、9.256，均P<0.05）。结论　认知行为干预能够有效延缓老年COPD合并认知衰弱患者的认知衰弱进程，改善其认知功能与生活质量，提高其自护能力。

关键词:

慢性阻塞性肺疾病, 认知衰弱, 老年, 认知行为疗法, 认知功能

Abstract:

Objective　To investigate the effect of cognitive-behavioural intervention on elderly patients with chronic obstructive pulmonary disease (COPD) complicated with cognitive decline. Methods　A total of 120 COPD patients with cognitive decline who were treated in Henan Provincial People's Hospital from March 2021 to March 2022 were simply randomly divided into a control group (60 cases) and an observation group (60 cases). In the control group, there were 38 males and 22 females, aged 60-78 (69.25±4.19) years, the course of disease was 1-15 (8.00±1.53) years, and the lung function grading was grade Ⅱ in 35 cases and grade Ⅲ in 25 cases. In the observation group, there were 40 males and 20 females, aged 60-78 (69.58±4.00) years, the course of disease was 1-15 (8.15±1.40) years, and the lung function grading was grade Ⅱ in 38 cases and grade Ⅲ in 22 cases. The control group received routine nursing intervention, and the observation group received cognitive-behavioral intervention on the basis of the control group. After discharge, both groups were intervened for 6 months by outpatient visit or telephone follow-up and were followed up for 1 year. The differences in frailty level, cognitive function score, self-care ability, and quality of life score were compared between the two groups. t test was used for the measurement data and χ² test was used for the count data. Results　After 6 months and 1 year, the frailty scores in the observation group were (2.57±0.11) points and (2.00±0.18) points, which were lower than those in the control group [(3.00±0.15) points and (2.71±0.20) points] (t=17.906 and 20.439, both P<0.05); the cognitive function scores in the observation group were (22.68±1.05) points and (25.69±1.20) points, which were higher than those in the control group [(20.36±1.00) points and (23.18±1.11) points] (t=12.394 and 11.894, both P<0.05); the scores of self-care ability in the observation group were (83.15±5.28) points and (88.63±6.47) points, which were higher than those in the control group [(75.26±4.16) points and (80.23±5.18) points] (t=9.092 and 7.581, both P<0.05); the quality of life scores in the observation group were (45.60±3.09) points and (40.23±2.69) points, which were lower than those in the control group [(50.18±4.00) points and (45.18±3.15) points] (t=7.019 and 9.256, both P<0.05). Conclusion　Cognitive-behavioural intervention can effectively delay the cognitive decline process of elderly patients with COPD and cognitive decline, improve their cognitive function and quality of life, and enhance their self-care ability.

Key words:

Chronic obstructive pulmonary disease, Cognitive decline, Elderly, Cognitive-behavioural therapy, Cognitive function

王伏张俊梅程奕飒毛盼朱杉杉.

认知行为干预对老年COPD合并认知衰弱患者的效果评价 [J]. 国际医药卫生导报, 2024, 30(16): 2707-2712.

Wang Fu, Zhang Junmei, Cheng Yisa, Mao Pan, Zhu Shan.

Evaluation of the effect of cognitive-behavioural intervention on elderly patients with chronic obstructive pulmonary disease complicated with cognitive decline [J]. International Medicine and Health Guidance News, 2024, 30(16): 2707-2712.

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认知行为干预对老年COPD合并认知衰弱患者的效果评价

Evaluation of the effect of cognitive-behavioural intervention on elderly patients with chronic obstructive pulmonary disease complicated with cognitive decline

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