基于互联网的出院过渡期干预在老年脑小血管病伴轻认知障碍患者中应用效果观察

Observation on application effects of internet-based transitional intervention during discharge period in elderly patients with cerebral small vessel disease and mild cognitive impairment

中文关键词: 老年  脑小血管病伴轻认知障碍  互联网  出院过渡期干预  康复效果  认知功能

英文关键词: elderly  cerebral small vessel disease complicated with mild cognitive impairment  internet  transitional in-tervention during discharge period  rehabilitation effect  cognitive function

中文摘要:

      目的 探讨基于互联网的出院过渡期干预在老年脑小血管病伴轻认知障碍患者中的应用效果.方法 选取2024年2月—2025年3月沧州市人民医院收治的120例老年脑小血管病伴轻认知障碍患者为研究对象,采取随机数字表法分为对照组(n=60)和观察组(n=60);对照组患者采取常规干预,观察组在对照组的基础上联合互联网的出院过渡期干预,2组患者均干预3个月.比较2组康复效果、干预前后蒙特利尔认知评估量表(MoCA)、改良Barthel指数、匹兹堡睡眠质量指数(PSQI)、评分变化,以及干预满意率.结果 干预后,观察组康复有效率(96.67％)高于对照组(86.67％),差异有统计学意义(P＜0.05,x2=3.927);观察组患者MoCA评分、Barthe l指数评分均高于对照组[(28.10±3.03)分vs(26.95±2.70)分,(79.99±4.04)分 vs(70.72±5.45)分,t=2.195、10.584],PSQI 评分为低于对照组[(3.92±1.40)分vs(5.14±1.19)分,t=5.143],差异均有统计学意义(P＜0.05);观察组患者干预满意率(96.67％)高于对照组(85.00％),差异有统计学意义(P＜0.05,x2=4.904).结论 基于互联网的出院过渡期干预有利于改善老年脑小血管病伴轻认知障碍患者认知功能、日常生活能力及睡眠质量,促进患者康复,提高患者满意率.

英文摘要:

      Objective To explore the application effects of internet-based transitional intervention during discharge peri-od in elderly patients with cerebral small vessel disease(CSVD)and mild cognitive impairment(MCI).Methods A total of 120 elderly patients with CSVD and MCI admitted to People's Hospital of Cangzhou City from February 2024 to March 2025 were selected as the research subjects.They were randomly divided into control group(n=60)and observation group(n=60)using a random number table.The control group received conventional intervention,while the observation group received con-ventional intervention+internet-based transitional intervention during discharge period.Both groups were intervened for 3 months.The rehabilitation effects,changes in the scores of Montreal Cognitive Assessment(MoCA),Modified Barthel Index,Pittsburgh Sleep Quality Index(PSQI)before and after the intervention,and satisfaction rates of intervention were compared between the two groups.Results After the intervention,the effective rate of rehabilitation in the observation group(96.67％)was higher than that in the control group(86.67％),and the difference was statistically significant(x2=3.927,P＜0.05).The scores of MoCA and Barthel Index in the observation group were higher than those in the control group[(28.10±3.03 vs 26.95±2.70,t=2.195);(79.99±4.04 vs 70.72±5.45,t=10.584),P＜0.05],while the PSQI score in the observation group was lower than that in the control group(3.92±1.40 vs 5.14±1.19,t=5.143,P＜0.05).The satisfaction rate of intervention in the observation group(96.67％)was significantly higher than that in the control group(85.00％),with a statistically significant difference(x2=4.904,P＜0.05).Conclusion The internet-based transitional in-tervention during discharge period is conducive to improving the cognitive function,daily living ability and sleep quality of eld-erly patients with CSVD and MCI,promoting the recovery of patients and increasing their satisfaction rate.