中期照护对老年患者智力和生活能力的影响  

Effect of intermediate care on intelligence and viability of elderly patients

作　　者：白旭晶[1] 陈峥[1] 宋岳涛[1] 高茂龙[1] 刘向国[1] 

机构地区：[1]北京老年医院老年病临床与康复研究所,100095

出　　处：《中国医药》2016年第1期98-100,共3页China Medicine

基　　金：首都卫生发展科研专项项目（首发2011-2019-01）

摘　　要：目的探讨中期照护对老年患者智力和生活能力的影响。方法选取2012年3月至2013年4月于北京老年医院、北京大学第三医院、解放军第三○九医院和中关村医院急性期病房经治疗达到急性期出院标准的≥65岁老年患者1087例，按患者和家属意愿分成观察组（445例）和对照组（642例）。观察组在中期照护机构进行临床、康复和护理治疗2周。对照组不进行中期照护。对观察组患者在急性期出院、中期照护入院、中期照护出院、其后随访6个月和12个月时进行日常生活能力量表（ADL）和简易智能评估量表（MMSE）评分，对对照组患者在急性期出院、其后随访6个月和12个月时进行ADL和MMSE评分，比较2组患者生活能力和智力恢复情况。结果观察组急性期出院、中期照护入院、中期照护出院、其后随访6个月和12个月时的ADL和MMSE评分分别为（32±15）、（33±14）、（29±13）、（27±12）、（27±12）分和（22±8）、（22±8）、（24±7）、（24±7）、（24±7）分，对照组急性期出院、其后随访6个月和12个月时ADL和MMSE评分分别为（27±14）、（26±13）、（25±13）分和（25±7）、（25±7）、（25±7）分。急性期出院时观察组ADL评分高于对照组，MMSE评分低于对照组，差异均有统计学意义（均P〈0.05），但随访6个月、12个月时，2组ADL和MMSE评分差异均无统计学意义（均P〉0.05）。结论中期照护有利于老年患者智力和生活能力的恢复。ObjectiveTo explore the effect of intermediate care on intelligence and viability of elderly patients. MethodsTotally 1 087 elderly patients （≥65 years old） achieving standard of acute phase discharge in acute ward from March 2012 to April 2013 were enrolled and divided into observation group （445 cases） and control group （642 cases） according to the patient and family wills. Observation group received clinical, rehabilitation treatment and nursing care in the intermediate care institute for 2 weeks; control group did not receive intermediate care. The activities of daily living （ADL） and mini-mental state examination （MMSE） score were recorded at time of acute phase discharge, admission to intermediate care institute, hospital,discharge from intermediate care institute, 6 months and 12 months later in observation group, at time of acute phase discharge, 6 and 12 months later in control group. ResultsThe ADL and MMSE score in observation group at time of acute phase discharge, admittion to intermediate care institute, hospital,discharge from intermediate care institute, 6 and 12 months later were （32±15）, （33±14）, （29±13）, （27±12）, （27±12） scores and （22±8）, （22±8）, （24±7）, （24±7）, （24±7） scores; the ADL and MMSE scores in control group at time of acute stage discharge, 6 and 12 months later were （27±14）, （26±13）, （25±13） scores and （25±7）, （25±7）, （25±7） scores. At time of acute phase discharge, the ADL score was significantly higher and the MMSE score was significantly lower in observation group than that in control group （P〈0.05）; while 6 and 12 months later, the ADL and MMSE scores were not significantly different between groups （P〉0.05）. ConclusionIntermediate care can effectively improve the intelligence and viability of elderly patients.

关 键 词：老年患者 中期照护 智力 生活能力 

分 类 号：R592[医药卫生—老年医学]