Study on the construction of cognitive training program for elderly patients with mild cognitive impairment based on horticultural therapy theory / 中国实用护理杂志

Objective:To construct a cognitive training program suitable for elderly patients with mild cognitive impairment based on horticultural therapy, so as to effectively slow down the cognitive decline of patients with mild cognitive impairment.Methods:Through searching the Chinese and English database literature of cognitive intervention from July 2000 to July 2020 and field visits to nursing homes, the draft intervention plan was formed. Two rounds of focus group interview were held to consult experts in cognitive impairment and geriatric care, etc., and to revise the intervention plan.Results:In the two rounds of focus group interview, the expert positive coefficient was 100%, the expert judgment basis was 0.84, the expert familiarity degree was 0.84, and the expert authority coefficient was 0.84. In the end, a 10-week cognitive intervention program targeting six cognitive domains -- "visuospatial/executive ability", "memory ability", "language ability", "attention ability", "abstract ability" and "naming ability" was formed, and the implementation steps of the program were improved.Conclusions:The construction process of cognitive training program for patients with mild cognitive impairment based on horticultural therapy theory is rigorous, scientific and feasible, and can be used to guide the cognitive training of patients with mild cognitive impairment.

Assess the clinical diagnostic value of heart failure echocardiography index for diastolic dysfunction / 中国实用内科杂志

Objective To evaluate the heart function of patients who had diastolic dysfunction.Using heart failure echocardiography index(HFEI),which synthesizes the multinomial parameter of echocardiography.The aim is to provide an impersonal,comprehensive and numerable criterion for appraising chronic congestive heart failure.Methods Totally 75 patients with diastolic dysfunction and 37 normal controls were involved in the study.All the subjects were graded by heart failure echocardiography index(HFEI)which was put forward by our hospital and the multinomial parameter of echocardiography was synthesized.At the same time,the scores of heart failure echocardiography index(HFEI)were compared with the outcomes of contemporaneous BNP and the NYHA class.Results The scores of heart failure echocardiography index(HFEI)in diastolic dysfunction group were higher than those in control group(P