Exploration of the effects of personalized cognitive training nursing interventions on improving daily living abilities and psychiatric symptoms in patients with vascular dementia after cerebral infarction
个性化认知训练护理干预改善脑梗后血管性痴呆患者日常生活能力与精神行为症状的效果探讨

摘要

目的 探讨个性化认知训练护理干预对脑梗后血管性痴呆（VaD）患者日常生活能力与精神行为症状的改善效果。方法 选取我院收治的80例脑梗后VaD患者（2024年1月-2025年1月），随机分为2组。对照组实施常规神经内科护理，观察组在常规护理基础上联合个性化认知训练护理干预，干预周期均为12周。比较两组干预后效果差异。结果 干预后观察组Barthel指数（BI）评分高于对照组，神经精神科问卷（NPI）评分低于对照组（P＜0.05）。结论 个性化认知训练护理干预可有效提升脑梗后VaD患者日常生活能力，减轻精神行为症状，值得临床推广应用。

Abstract

Objective To explore the improvement effect of personalized cognitive training nursing intervention on daily living ability and psychological and behavioral symptoms in patients with vascular dementia (VaD) after cerebral infarction.
Methods Eighty VaD patients with cerebral infarction admitted to our hospital (January 2024 - January 2025) were randomly divided into two groups. The control group received routine neurology nursing, while the observation group received personalized cognitive training nursing intervention in addition to routine nursing. The intervention period was 12 weeks for both groups. Compare the differences in post intervention outcomes between two groups.
Results After intervention, the Barthel Index (BI) score of the observation group was higher than that of the control group, and the Neuropsychiatric Inventory (NPI) score was lower than that of the control group (P<0.05).
Conclusion   Personalized cognitive training nursing intervention can effectively improve the daily living ability of VaD patients after cerebral infarction, alleviate psychological and behavioral symptoms, and is worthy of clinical promotion and application.