Evaluation of the effect of cognitive-behavioural intervention on elderly patients with chronic obstructive pulmonary disease complicated with cognitive decline
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 x2 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.
Chronic obstructive pulmonary diseaseCognitive declineElderlyCognitive-behavioural therapyCognitive function
万方数据
维普
