目的 探究老年综合评估导向下针对性护理对老年血管性痴呆患者的应用效果。方法 选取本院2024年1月—2024年12月收治的86例老年血管性痴呆患者作为研究对象,采用随机数字表法将其分为对照组与观察组,各43例。对照组患者接受常规护理,观察组患者接受老年综合评估导向下的针对性护理。比较两组患者护理前后认知功能、日常生活能力、生活质量,睡眠质量及护理满意度。结果 护理后,观察组患者蒙特利尔认知评估量表（MoCA）得分、简易精神状态检查量表（MMSE）得分、日常生活活动能力量表（ADL）得分及世界卫生组织生存质量测定表简表（WHOQOL-BREF）得分均高于对照组（P<0.05）;观察组患者匹兹堡睡眠质量指数（PSQI）各维度得分均低于对照组,护理总满意率高于对照组（P<0.05）。结论 对老年血管性痴呆患者实施老年综合评估导向下的针对性护理,可有效改善患者的认知能力,提升其日常生活活动能力、生活质量、睡眠质量及护理满意度。

Objective To explore the application effect of targeted nursing under the guidance of comprehensive geriatric assessment for elderly patients with vascular dementia. Methods A total of 86 elderly patients with vascular dementia admitted to our hospital from January 2024 to December 2024 were selected as the research subjects. They were divided into a control group and an observation group by the random number table method, with 43 cases in each group. Patients in the control group received routine care, while those in the observation group received targeted care under the guidance of comprehensive geriatric assessment. The cognitive function, daily living ability, quality of life before and after the nursing care, sleep quality and nursing satisfaction of the two groups were compared. Results After the nursing care, the scores of the Montreal cognitive assessment (MoCA), mini-mental state examination (MMSE), activities of daily living (ADL), and the dimensions of the World Health Organization quality of life-brief (WHOQOL-BREF) in the observation group were all higher than those in the control group (P < 0.05); the scores of each dimension of the Pittsburgh sleep quality index (PSQI) in the observation group were all lower than those in the control group, and the total satisfaction rate of nursing was higher than that in the control group (P < 0.05). Conclusion Implementing targeted nursing under the guidance of comprehensive geriatric assessment for elderly patients with vascular dementia can effectively improve their cognitive ability, enhance their daily living ability, quality of life, sleep quality and nursing satisfaction.