Effects Of Intensive Attention Training On The Rehabilitation Of Attention Patients With Vascular Cognitive Impairment With No Dementia

Vascular cognitive impairment with no dementia is also a special stage of cognitive impairment caused by cerebrovascular diseases.The impairment of cognitive function is relatively minor and has not yet reached the level of clinical dementia.Clinically,vascular cognitive impairment with no dementia is considered as a transitional state between normal cognitive function and dementia.Brain dysfunction in such patients is more subtle and more easily overlooked than physical disorders.Because the current treatment methods need to be hospitalized,in order to facilitate the patients’ home rehabilitation,The Schulte grid has long been used as one of the reliable assessment measurement and training methods of attention level.This method has low requirements on muscle strength,safety and simplicity.It only needs simple paper,no other props,and low requirements on environment and hardware.It is convenient for patients to train at home after discharge.This study introduces the Schulte grid training method.This study is aimed to explore the effects of intensive attention training on the rehabilitation of attention,overall cognition and activities of daily living of patients with vascular cognitive impairment with no dementia(VCIND).In this study,60 patients with vascular cognitive impairment with no dementia(VCIND)who are admitted to the Geriatric Medicine Department of Shanghai Jing’an Shibei Hospital from June 2019 to December 2019 are divided into the experimental group and the control group,with 30 patients in each group and without statistically significant difference between age groups of the two patient groups(p > 0.05).the Schulte Grid training method is used to strengthen the training of attention disorder in the experimental group of conventional cognitive training for 10 minutes every day.Before treatment and 4 weeks after treatment(after treatment),Digit span test and Digital erasure test are used to evaluate patients’ attention level,Montreal Cognitive Assessment is used to evaluate patients’ overall cognition level,and Activifies and Participation Assessment Scale is used to evaluate patients’ activities of daily living,with data collection and statistical analysis of treatment effect.Conclusion: 1.Both Schulte Grid intensive training + conventional rehabilitation training and conventional rehabilitation training can significantly improve the attention level of patients with vascular cognitive impairment with no dementia(VCIND).However,compared with conventional rehabilitation training,Schulte Grid intensive training + conventional rehabilitation training can improve the patient’s attention level more significantly.2.Both Schulte Grid intensive training + conventional rehabilitation training and conventional rehabilitation training can significantly improve the overall cognition level of patients with vascular cognitive impairment with no dementia(VCIND).Schulte Grid intensive training + conventional rehabilitation training has similar improvement effects in patients’ overall cognition level compared with conventional rehabilitation training.3.Both Schulte Grid intensive training + conventional rehabilitation training and conventional rehabilitation training can significantly improve the activities of daily living abilities of patients with vascular cognitive impairment with no dementia(VCIND).However,compared with conventional rehabilitation training,Schulte Grid intensive training + conventional rehabilitation training can improve the patient’s activities of daily living abilities more significantly.This study is an empirical study on strengthening attention training in patients with vascular cognitive impairment with no dementia and complements the experimental rehabilitation training paradigm of patients with vascular cognitive impairment with no dementia.It is the first step of individualized rehabilitation training for patients with vascular cognitive impairment.It is proved that Schulte Grid training is a safe,simple and feasible rehabilitation method,which is convenient for patients to recover at home,and is worthy of clinical application.