Application of narrative family therapy in continuous nursing for elderly patients with post-stroke cognitive impairment non-dementia / 中国中西医结合急救杂志

ABSTRACT

Objective To explore the effect of continuing nursing care based on narrative family therapy for elderly patients with post-stroke cognitive impairment non-dementia (PSCIND). Methods One hundred elderly patients with PSCIND were firstly diagnosed in Sandun Hospital District of Zhejiang Hospital from January to December 2017, the patients discharged between January and June were set as a control group, and the patients discharged between July and December were arranged in an experimental group, 50 cases in each group. Finally, 46 cases in control group and 48 cases in experimental group completed the study. The control group was given routine continuing nursing; while the experimental group was given continuing nursing based on narrative family therapy. The differences of Montreal Cognitive Assessment Scale (MoCA), Modified Barthel Index (MBI) score and Caregiver Load Scale (ZBI) score between the two groups after 12 weeks of intervention were compared. Results There were no statistical significant differences in the scores of MoCA, MBI and ZBI between the two groups before intervention (all P > 0.05). After intervention, the MoCA score of experimental group was significantly higher than that of control group (24.61±2.03 vs. 22.98±2.34, P < 0.05), and the ZBI score was obviously lower than that of control group (34.89±7.12 vs. 38.17±6.53, P < 0.05). But, there was of no statistical significant difference in MBI score between experimental group and control group (54.65±6.32 vs. 52.33±7.36, P < 0.05). Conclusion Narrative family therapy in continuing nursing care can effectively improve the cognitive function of elderly patients with PSCIND and reduce the burden of caregivers.