护理干预对老年性痴呆患者认知功能障碍的影响  

Effect of Nursing Interventions on Cognitional Function of the Patients with Early and Moderate Alzheimer's Disease

作　　者：徐永能[1] 卢少萍[1] 张月华[1] 黄巧[1] 何池忠[1] 

机构地区：[1]广东省人民医院老年医学研究所,广东广州510080

出　　处：《解放军护理杂志》2006年第3期10-12,共3页Nursing Journal of Chinese People's Liberation Army

基　　金：广东省人民医院科学技术研究基金资助课题(项目编号:Y02019);广东省卫生厅医学科研立项课题(项目编号:A2003004)

摘　　要：目的改善早、中期老年性痴呆(A lzhe im er d isease,AD)患者的认知障碍,提高其日常生活能力。方法对39例早、中期AD患者进行认知功能训练1年,包括心理护理、记忆障碍的护理、智力障碍的护理、逻辑思维障碍的护理、日常生活能力的护理、安全护理。干预前后采用简明精神状态量表(m in i m ental state exam ination,MMSE)、日常生活能力量表(activities of daily living,ADL)进行评定。结果干预后,患者的ADL得分明显降低(P<0.05),MMSE得分无显著差异(P>0.05)。结论对认知功能障碍有效地护理可提高患者的日常生活能力,延缓病情的进展。Objective To improve the cognitional function and daily life abilities for patients with early and moderate Alzheimer＇s disease （AD）. Methods Thirty-nine cases with early and moderate AD were trained for 1 year by cognitional interventions, which included psychological nursing, safety nursing, daily life ability training, memory disorder nursing, intellective disorder nursing and thought disorder nursing. Mini mental state examination （MMSE） and activities of daily living （ADL） were applied before and after interventions. Results There was significantly difference in ADL level before and after interventions （ P 〈 0.05）. But no significant difference appeared in MMSE scale before and after interventions （ P 〉 0. 05 ）. Condusion Cognitional interventions could improve daily life abilities of the patients and delay the progress of Alzheimer＇s disease.

关 键 词：护理干预 老年性痴呆 认知功能 

分 类 号：R749.16[医药卫生—神经病学与精神病学]