Community Intervention Effects On Cognitive Impairment After Stroke Score And Age Factor Analysis

Objective: In shijiazhuang changan district part of the community crowd,stroke from2weeks to6months of investigation of cognitive function andhealth education intervention guidance for six months, observe the crowd mildcognitive dysfunction after stroke group and the mild dementia group twogroups of patients before and after the change of cognitive function, in orderto investigate the community intervention on post-stroke population changesin cognitive function; And through the statistical post-stroke cognitivefunction in patients of all ages level grouping situation, in order to investigatethe best intervention post-stroke cognitive function obstacle to prevent peopleage, and survey the crowd incidence of mild cognitive dysfunction and milddementia.Method:Choice in November2011and December2012hospital and changandistrict of shijiazhuang in hebei province part of the community residents,conditions in the range from2weeks to6months after stroke, age50to80asthe research object. Mainly on the basis of a brief mental state scale (MMSE)and Montreal cognitive assessment of Beijing edition (MoCA) score wasdivided into three groups: no cognitive dysfunction group (MoCA26points orhigher); Mild cognitive dysfunction group (MoCA and MMSE <26>26/24)(illiterate group for24points); The mild dementia group (19/17or less MMSE26/24) or less (illiterate group for17,24points). And each group wererandomly divided into intervention group and control group, and gives thecorresponding health education for six months. Into the group of cases asfollows: study of29cases without cognitive impairment group, mild cognitivedysfunction group study of36cases with mild dementia research group, a totalof38cases. Completed6months of follow-up cases as follows: mild cognitive dysfunction group20cases, the intervention group and the control group (n=10); The mild dementia group20cases, of which the intervention group andthe control group (n=10). Finally through setting up and epidemiologicalinvestigation and control measurement before and after the design of relevantstatistical methods and percentage, for mild cognitive dysfunction with milddementia group before and after each completed6months of follow-up casesMMSE and MoCA score, into the age group cases and mild dementia and mildcognitive dysfunction occurrence statistics analysis, to draw the communityintervention effects on cognitive function in all groups of difference; Andstatistics from2weeks to six months after stroke, the people of all ages groups,to draw a stroke within2weeks after half a year the best interventioncognitive function obstacle to prevent age and the incidence of mild cognitivedysfunction and mild dementia.Results:1Mild cognitive dysfunction group and mild dementia scores before andafter contrastBased on mild cognitive dysfunction group, the intervention group andcontrol group two groups of health education and health promotion and healtheducation, according to a=0.05, before and after the MMSE score P=0.169>0.05, no statistical significance, still can’t believe that there is a difference;The MoCA scores before and after comparison P=0.049<0.05, there isstatistical significance, but believe that there is a difference, you can get mildcognitive dysfunction group and intervention group after the interventionMoCA score is higher. By the mild dementia group intervention group andcontrol group two groups, respectively, for health education and healthpromotion and health education, according to a=0.05, MMSE scores beforeand after the comparison P=0.024<0.05, there is statistical significance, canbelieve that there is a difference; The MoCA scores before and aftercomparison P=0.044<0.05, has also statistically significant, but think thereare differences, can draw the mild dementia group intervention group after theintervention MMSE scores and MoCA scores are higher. 2The occurrence of cognitive dysfunctionIn103into the group of patients the incidence of mild cognitivedysfunction was35.0%, the mild dementia incidence was33.9%.3After a stroke each age group trends:50~59years old age group: no cognitive dysfunction group (63.2%),mild cognitive dysfunction group was26.3%, the mild dementia group(10.5%);60~69years of age: no cognitive dysfunction group (28.2%), mildcognitive dysfunction group was53.8%, the mild dementia group (17.9%);70~80age group: no cognitive dysfunction group (13.3%), mild cognitivedysfunction group was22.2%, the mild dementia group accounted for64.5%.50~59aged mild cognitive dysfunction (26.3%) and the proportion ofgroup cognitive dysfunction (63.2%), the proportion of larger, less proportionof the mild dementia group (10.5%);60~69aged mainly mild cognitivedysfunction (53.8%), the proportion of larger, no cognitive dysfunction groupaccounts for a small proportion (17.9%):70~80age group the mild dementiagroup proportion (64.5%), no cognitive dysfunction group accounts for asmall proportion (13.3%). As you can see50~69years old age is not thecognitive dysfunction and mild cognitive dysfunction, and small number ofmild dementia, and cognitive dysfunction occurs along with the age growthand growth.Conclusion：1Through the comparison of scale score before and after, can draw thecommunity intervention can improve the stroke from2weeks to6monthsafter the cognitive level of the crowd.2Two weeks to six months after the stroke group and mild dementiaincidence of mild cognitive dysfunction is higher, and71.9%.3By comparing groups of all ages can be concluded that occurs after astroke from2weeks to six months for people over age50interventions,should embark on cognitive dysfunction is over60years old should be startedat least,prevent its conversion to dementia.