思维导图训练联合互联网对老年轻度认知障碍患者生活质量的影响

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　　摘要：目的  探讨思维导图训练联合互联网对老年轻度认知功能障碍（MCI）患者生活质量的影响。方法  选取2018年5月～2019年4月我院收治的83例老年MCI患者，均予以思维导图为主的图像训练，并联合互联网老年MCI管理平台进行管理，比较干预前与干预后6个月患者的主观幸福感及日常生活活动能力。结果  干预后，患者主观幸福感总分及激越、对年龄态度、孤独与不满评分均高于干预前，差异有统计学意义（P<0.05）;患者ADL总分及躯体性生活自理量表、工具性日常生活能力量表评分低于干预前，差异有统计学意义（P<0.05）。结论  思维导图训练联合互联网可有效提高老年MCI患者幸福指数及生活自理能力，减轻激越、孤独与不满等负性情绪，改善生活质量。
　　关键词：老年轻度认知障碍;思维导图;互联网;生活质量
　　中图分类号：R473                                  文獻标识码：A                                  DOI：10.3969/j.issn.1006-1959.2020.03.061
　　文章编号：1006-1959（2020）03-0181-03
　　Effects of Mind Map Training Combined with Internet on Quality of Life for Patients
　　with Mild Cognitive Impairment in the Elderly
　　YU Xue-lian
　　（Sichuan Academy of Medical Sciences/Department of Geriatric Hypertension，Sichuan Provincial People's Hospital，
　　Chengdu 610072，Sichuan，China）
　　Abstract：Objective  To explore the effect of mind map training combined with the Internet on the quality of life of patients with cognitive impairment （MCI） in old people.Methods  83 elderly MCI patients admitted in our hospital from May 2018 to April 2019 were all trained with mind map-based image training and combined with the Internet elderly MCI management platform managing，subjective well-being and ability of activity of daily living were compared before and 6 months after intervention.Results  After the intervention， the patients' total subjective well-being and agitation， attitude to age， loneliness， and dissatisfaction were all higher than before the intervention，the differences were statistically significant （P<0.05）; the patients' total ADL scores and physical sex life self-care scale and tools The sexual daily living ability scale score was lower than before intervention， the difference was statistically significant （P<0.05）.Conclusion  Mind map training combined with the Internet can effectively improve the happiness index and self-care ability of elderly MCI patients， reduce negative emotions such as agitation， loneliness and dissatisfaction， and improve quality of life.
　　Key words：Mild cognitive impairment in the elderly;Mind map;Internet;Quality of life
　　轻度认知功能障碍（mild cognitive imapirment，MCI）是一种常见老年认知功能减退综合征，发病率约10%[1]，其认知功能处于正常与痴呆的一种过渡状态，超过半数的MCI患者在5年内进展为痴呆[2]，因此，早期识别、干预对于延缓轻度认知功能障碍患者疾病进展意义重大。思维导图（mindmap）是一种思维工具，运用图文并重的技巧把各级主题的关系用相互隶属与相关的层级图表现出来，把主题关键词与图像、颜色等建立记忆链接，有利于启发扩散性思维[3]。另外随着移动互联网对现实生活的全面渗透，互联网+管理平台已广泛应用于临床。本研究将思维导图训练联合互联网运用于老年MCI患者护理中，观察干预前后患者主观幸福感及日常生活活动能力的变化，现报道如下。
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