[Clinical detenminants for the targeted effects of neurocognitive rehabilitation in elderly and senile patients with mild cognitive impairment.]

Abstract

The aim of the study is to optimize the cognitive abilities of elderly and senile patients during the implementation of a neurocognitive rehabilitation program. A neurocognitive rehabilitation program was developed, during which 729 patients aged 60-89 years (average age 72,5+5,7 years) participated. The program is standardized and consists of three consecutive segments: 1 week - diagnostic segment, 2-5 weeks - main rehabilitation segment, 6 weeks - final. The proposed model of neurocognitive rehabilitation in elderly and senile patients with mild cognitive decline leads to a statistically significant improvement in cognitive status as a key goal of rehabilitation according to the mental function assessment scale in dementia risk groups: in the 1st group - from 24,3±0,4 to 27,2±0,4 points, in the 2nd group - from 25,1±0,3 to 27±0,2 points, in the 3rd group - from 24±0,3 to 27,3±0,2 points; according to the Montreal cognitive function assessment scale: in the 1st group - from 22,3±0,4 to 27,3±0,3 points, in the 2nd group - from 21,8±0,6 to 27,1±0,2 points, in the 3rd group - from 21,7±0,7 to 26,9±0,5 points. The developed and proposed model of neurocognitive rehabilitation for the elderly and senile has pleiotropic effects in the form of reducing anxiety and depression, improving sleep quality and stabilizing geriatric status.