The Influence Of Head Meridian Point Massage On Cognitive And Social Function Of Patients With Vascular Cognitive Impairment No Dementia

Objective:1. To describe the current status of cognitive function and social function on the patients with Vascular Cognitive Impairment No Dementia (VCIND).2. To analysis the relationship between cognitive function and social function of VCIND patients.3. To investigate the effects of head meridian point massage on cognitive function and social function of VCIND patients.Methods:This study was randomized controlled trials.84cases of VCIND patients meting the inclusion and exclusion criteria were come from the hospitalized patients in Rehabilitation of a3A general hospital in Harbin(2013.3-2014.3). The subjects were randomly divided into control and test group, the control group received routine care of rehabilitation, and the test group received a additional nursing intervention on this basis, named head meridian point massage. The intervention time was6weeks. The subjects were evaluated before and after intervention with Montreal Cognitive Assessment (MoCA) and Functional Activities Questionnaire (FAQ). Statistical analysis: measurement data using t test, Mann-Whitney U test or Wilcoxon (W) test, count data using the chi-square test,and correlation analysis using Pearson or Spearman correlation analysis.Results:1. Before the intervention, the overall MoCA score of the subjects was (20.64±1.648), and the score of "visuospatial and executive power" was the maximum (2.55±1.292), scoring rate was51.0%; the score of "abstract" dimension was the smallest (1.79±0.520), scoring rate was89.5%.2. Before the intervention, the overall FAQ score of the subjects was (6.510±1.441), and the score of "account management" function is the largest (1.36±0.621), scoring rate was45.3%; the score of "do simple things" is the smallest (0.31±0.466), scoring rate was10.3%.3. Before the intervention, it was negatively correlated between the overall score,"visuospatial and executive power, attention, orientation," three dimensions’s score of the MoCA and FAQ scores, and the correlation coefficient between-0.251～-0.790(P<0.05).(Note:The lower score of the FAQ was, the better the social function status was.)4. MoCA scores before and after the intervention:the control group:the overall MoCA score,the scores of visuospatial and executive ability, attention, language, delayed recall etc dimensions compared to before showed statistically significant difference (P <0.05); the intervention group:the overall MoCA score, visuospatial and executive ability, attention, language, abstract, delayed memory and orientation etc dimensions’s score compared to before showed statistically significant difference (P<0.05).5. FAQ scores before and after the intervention:the control group:the overall FAQ score, the scores of account management, ability to work, shopping, awareness of current affairs dimensions compared to before showed statistically significant difference (P <0.05); the intervention group:the overall FAQ score, the scores of account management, ability to work, shopping, hobbies, prepare meals, participate in discussions, going out alone dimensions compared to before showed statistically significant difference (P <0.05).6. MoCA and FAQ score after intervention:comparing the difference of MoCA overall," visuospatial and executive ability " and "attention" scores between control group and test group, the results showed statistically significant (P<0.05), and other dimensions score showed no statistically significant; comparing the difference of FAQ score between control group and test group, the results showed that the difference was not statistically significant (P>0.05).Conclusions:1. The VCIND patients with mild memory impairment of multiple cognitive domains, in which the "visuospatial and executive power" dimension impaired relatively maximum, and the "abstract" dimension impaired relatively smallest.2. The social function of VCIND patients damaged to a lesser extent, in which the "account management" function was impaired relative maximum, and the "do simple things" was impaired relative smallest.3. It was positively correlated between cognitive function and social function of VCIND patients.4. In improving cognitive function, the head meridian point massage was more effective than routine nursing intervention; And, in improving social function, the effect of nursing interventions between head meridian point massage and routine nursing showed no differences, which requires long-term application and further observation.