Traditional Chinese Medicine Health Education On Patients With Mild Cognitive Impairment After Stroke Intervention

Purpose： Explore the implementation of Chinese medicine health educationintervention on patients with mild cognitive impairment after stroke, and to promotethe use of Chinese medicine health education intervention program, pay attention tothe characteristics and advantages of Chinese medicine, early identification andintervention of mild cognitive impairment after stroke, in order to slow down orevenprevent stroke, vascular dementia occurs.Methods：And widely accepted method of multiple measurements, the use-by visit bya trained physician,50to75-year-old history of stroke patients to take a sample of290cases, post-stroke cognitive Affiliated Hospital of Changchun University ofTraditional Chinese Medicinebarriers to community medicine hierarchical controlmode questionnaire, use of dementia awareness survey, the Hamilton DepressionRating Scale (HAMD), clinical neurological impairment ratings standards (NIHSS), abrief mental status scale (MMSE), the Montreal cognitive Assessment scale [theBeijing Edition](MoCA), clinical Dementia Rating Scale (CDR), activities of daily living(ADL), the core symptoms observed in Table peripheral symptoms, tongue and pulseobservation table test, and ultimately patient population to meet the requirements ofthe three groups:First, the no cognitive impairment group; mild cognitive impairmentgroup;, mild vascular dementia group;150cases of patients with no cognitiveimpairment group,70patients with mild cognitive impairment group, mildvasculardementia group of70patients. Each group were randomly divided intointervention group and intervention group.Non-intervention group, according toChinese medicine standard treatment after discharge, and timely follow-up to recordhealth log; accordance with TCM standard treatment after discharge, the interventiongroup and Chinese medicine health education and timely follow-up to record healthlog. After24weeks of observation, the use of ADL (ADL), clinical neurologic damagescore (NIHSS), Montreal Cognitive Assessment Scale [Beijing](MoCA), the coresymptoms observed in Table peripheral symptoms, tongue and pulse observed table,dementia awareness survey conducted testing, scientific evaluation of traditional Chinese medicine health education intervention for mild cognitive impairment afterstroke. SPSS12.0statistical software for statistical analysis, count data using the X2test, statistical analysis with P less than or equal to0.05to test part of the count dataconstituent ratio.Results：Stroke cognitive impairment community medicine hierarchical control modelsurvey found that in290patients with a history of stroke patients50to75years, afterChinese medicine health education intervention, stroke patients after a stroke cancause cognitive impairment or dementiaand other related knowledge awarenessincreased significantly, and stroke in patients with cognitive impairment interventiongroup than the intervention group after a stroke mild cognitive impairment decreasedthe probability of mild cognitive impairment after stroke patients intervention groupthan in the non-intervention groupthe probability of mild vascular dementia alsodecreased significantly.Conclusion: In this study, through investigation of patients with a history of stroke andhelp to identify high-risk groups of dementia, its effective intervention can delay theoccurrence of dementia. Institute selected neuropsychological better acceptance andsensitivity, can choose to reflect the computing power, delay memory and spatialstructure ability scale, at the same time based on to MOCA Scale score combinationinsiders the questionnaire can be more objectively reflect cognitive dysfunction, easyin clinical use, combined with each application can compensate for each other’sdeficiencies, comprehensive response to widespread cognitive impairment, andimprove the validity and breadth of early diagnosis of stroke after mild cognitivedisorder. Chinese medicine effective health education intervention can improve theunderstanding of stroke in patients with a history of mild cognitive impairment afterstroke, the initiative, as well as lifestyle conducive to the occurrence of vasculardementia in control after a stroke, the goal of prevention.