养老机构老年期痴呆病人心境状况及影响因素分析  

Analysis on the status quo of mood in patients with senile dementia in Yanglao institutions and influencing factors

作　　者：林晓莉[1] 王君俏[1] 贾守梅[1] 曹新妹[2] 沈珍华 

机构地区：[1]复旦大学护理学 [2]上海交通大学附属上海市精神卫生中心 [3]上海市金山区众仁护理院

出　　处：《护理研究（中旬版）》2011年第6期1520-1523,共4页Chinese Nursing Researsh

基　　金：2009年复旦大学护理学院护理科研基金资助项目;编号:FNSF200907

摘　　要：[目的]了解养老机构老年期痴呆病人心境状况,分析其影响因素。[方法]采用基本资料调查表、简易智力状态检查量表(MMSE)、改良Barthel指数、临床痴呆评定量表(CDR)、痴呆心境评估量表(DMAS)对上海市2个养老护理机构的133例老年期痴呆病人进行调查。[结果]养老机构中老年期痴呆病人DMAS总分为(25.05±13.86)分;不同痴呆严重程度病人的DMAS得分比较差异有统计学意义(P<0.01);病人DMAS总分与MMSE得分(r=-0.4 2,P<0.0 0 1)、Barthel指数(r=-0.32,P<0.001)、合并症数目(r=0.21,P<0.05)相关;多元逐步回归分析显示,认知功能与日常生活活动能力可解释心境22.5%的变异度。[结论]养老机构中老年期痴呆病人心境欠佳,医护人员应通过积极治疗慢性病、维持病人认知功能、改善其日常生活活动能力以及加强亲属支持等方式改善心境。Objective：To know about the status quo of mood in patients with senile dementia and to analyze its influencing factors.Methods：A total of 133 patients with senile dementia in 2 Yanglao nursing institutions of Shanghai city were investigated by adopting basic information questionaire,mini-mental state examination（MMSE）,modified Barthel index,clinical dementia rating scale,and dementia mood assessment scale（DMAS）.Results：For patients with senile dementia in Yanglao institutions,total score of DMAS was 25.05±13.86.There were statistical significant differences in terms of the DMAS scoring among different severities of dementia（P0.01）.Total score of DMAS correlated with score of MMSE（r=-0.42,P0.001）Barthel index（r=-0.32,P0.001）,and the numbers of complications（r=0.21,P0.05）.Regression analysis showed that cognitive function and activities of daily living could explain 22.5% of variability of the mood.Conclusion：Mood of patients with senile dementia in Yanglao institutions was poor.Medical and nursing staff should improve their mood by treating chronic disease actively,maintaining cognitive function,enhancing daily living activities,and family support.

关 键 词：痴呆 养老机构 心境 护理 

分 类 号：R473.59[医药卫生—护理学]