早中期老年性痴呆病人的家庭健康指导  

Application of family health guidance to patients with Alzheimer's dis ease in pr emetaphase

作　　者：卢少萍[1] 符霞[1] 徐永能[1] 张月华[1] 黄巧[1] 谢银均[1] 

机构地区：[1]广东省人民医院老年医学研究所,广州市510080

出　　处：《中华护理杂志》2005年第6期403-405,共3页Chinese Journal of Nursing

基　　金：广东省卫生厅医学科研立项课题(A2003004)

摘　　要：目的提高早中期老年性痴呆(AD)病人的生活能力和生活质量。方法对39例早中期AD病人进行家庭健康指导1年,包括综合能力训练、心理护理、家居安全护理、预防并发症护理。干预前后采用简明精神状态量表(MMSE)、日常生活能力量表(ADL)、健康状况调查问卷(SF36)、汉密顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)进行评定。结果干预前后AD病人的ADL、SF36、HAMA、HAMD得分差异有显著性意义(P<0.05),MMSE得分差异无显著性意义(P>0.05)。结论有效的家庭健康指导可提高病人的生存质量,改善病人的心理调适能力,延缓病情的进展。Objective To im prove the ability and quality of life to patients with A lzheimer's disease (AD) in premetaphase.Methods Applied family health guidance to 39 patients with AD in premetaphase for 1 year, including comprehensive abili ty training, psychological nursing, home security care and prevention of complic ation. MMSE, ADL, SF-36, HAMA and HAMD were used to assess before and after int e rvention.Results There were significant differe nce between pre-intervention and post-intervention in the scores of ADL, SF-3 6, HAMA and HAMD (P<0.05),but no significant difference in MMSE (P>0.05) .Conclusion s Effect ive family health guidance can improve the patients' quality of life and psychol ogical adjustment ability,then delay the course of AD.

关 键 词：早中期 老年性痴呆 家庭健康指导 康复护理 

分 类 号：R473.2[医药卫生—护理学]