对老年血管性痴呆实施3R强化护理的研究  

Study on implementing 3R intensive nursing to senile vascular dementia

作　　者：刘素美[1] 薛金红[1] 曹娟[2] 李铮[3] 

机构地区：[1]山东省潍坊市人民医院护理部,261041 [2]潍坊医学院附属医院 [3]山东省潍坊市人民医院保健科,261041

出　　处：《中华物理医学与康复杂志》2001年第4期229-231,共3页Chinese Journal of Physical Medicine and Rehabilitation

摘　　要：目的　探讨改善老年血管性痴呆 (VD)生活质量的有效护理方法。方法　 65例老年VD患者分为强化护理组与对照组 ,强化护理组 3 4例 ,实施往事记忆提取 (Reminiscence)、记忆空间定位 (Reality)和记忆再激发 (Remotivation)的强化护理训练 (简称 3R强化护理 )。对照组 3 1例 ,实施内科常规护理。对两组患者实施护理前、护理训练计划完成后分别测定与记忆、智能有关的 4种量表 :IADL FAQ、FIM (1 4～1 8)、WAIS RC(简式 )、RBMT R。结果　强化护理组与对照组测定的四种量表相比 ,在护理前无明显差异(P >0 .0 5) ,实施护理计划后差异有显著性 (P <0 .0 1 )。结论　 3R强化护理能有效地改善老年VD患者的生活质量。Objective To investigate the effective nursing ways for improving senile vascular dementia patiens' life quality. Methods Sixty five senile vascular dementia patients were divided into intensive nursing group and control group. The intensive nursing group consists of 34 cases, given 3R(Reminiscence,Reality,Remotivation) intensive nursing. Both groups, pre and post nursing, are checked with the 4 kinds of figures associated with memory and intelligence: IADL FAQ,FIM(14 18),WAIS RC,RBMT R.Results Comparing the intensive nursing group and control group's 4 kinds of figures, prenursing shows no difference(P> 0.05 ). There are significant differences after implementing intensive nursing(P< 0.01 ).Conclusion 3R intensive nursing can significantly improve senile vascular dementia patient's life quality.

关 键 词：血管性痴呆 3R强化护理 老年性痴呆 

分 类 号：R473.74[医药卫生—护理学]