家庭干预模式在早期阿尔茨海默病患者家庭中应用的效果评价  

Application effect of family intervention model in early Alzheimer＇s disease patients＇ family

作　　者：张瑞芬[1] 沈丽珍[1] 姜俊香[1] 

机构地区：[1]江苏省无锡市精神卫生中心老年精神科,214151

出　　处：《中国实用护理杂志》2013年第6期28-31,共4页Chinese Journal of Practical Nursing

摘　　要：目的探讨Friedman家庭干预模式对早期阿尔茨海默病患者的个人生活能力及照料者心理状况的影响。方法选择阿尔茨海默病患者66例，按随机原则分为研究组和对照组各33例。对照组采用老年科常规护理，研究组在此基础上运用Friedman家庭干预模式进行护理。2组分别在干预前和干预2个月后采用生活质量指数评定量表及日常生活能力量表评定效果，同时采用症状自评量表（SCL-90）对配对的照料者进行评定。结果研究组在干预后生活质量明显改善，且日常生活能力与对照组比较，差异显著。干预2个月后研究组照料者在SCL-90总分及抑郁、焦虑、躯体化、人际关系因子分方面与对照组相比较有显著改善。结论Friedman家庭干预模式对阿尔茨海默病患者的生活质量及日常生活能力有显著的改善作用，同时可以改善AD患者照料者的心理状况。Objective To investigate the impact of Friedman family intervention model on the personal life ability and psychological status of caregivers of early Alzheimer＇s disease patients. Methods 66 Alzheimer＇s disease patients,according to the random sequence,were divided into the study group and the control group with 33 patients in each group respectively. The control group received routine geriatric care, the study group was given Friedman family intervention model on the basis of routine geriatric care. Two groups were estimated with Life Scale Index and ADL before intervention and two months after intervention respective- ly, and the matching caregiver were evaluated with Symptom Checklist-90 （SCL-90）. Results Compared with the control group, the quality of daily life after the intervention of the study group was significantly im- proved, and the differences of daily living skills between two groups were statistically significant. The differences of the SCL-90 total score and depression, anxiety, somatization, interpersonal factor scores of caregivers between the two groups were statistically significant after two months of intervention. Conclusions The application of Friedman family intervention model plays a significant role in the improvement of the quality of daily life and daily living skills in patients with Alzheimer＇s disease, and can improve the psychological status of the caregivers of AD patients.

关 键 词：阿尔茨海默病 Friedman家庭干预模式 个人生活能力 生活质量 心理状况 

分 类 号：R473[医药卫生—护理学]