职业治疗在老年痴呆患者康复训练中的应用  

Application of occupational therapy in rehabilitation training for the elderly with dementia

作　　者：虞祥娟[1] 沈丽珍[1] 姜俊香[1] 唐玉平[1] 钱维[1] 顾曙光[1] 

机构地区：[1]南京医科大学附属无锡市精神卫生中心老年精神科,江苏无锡214151

出　　处：《护理学杂志》2016年第21期10-13,共4页Journal of Nursing Science

摘　　要：目的探讨职业治疗对老年痴呆患者康复的影响。方法将63例老年痴呆患者随机分为两组,对照组31例应用药物治疗和老年精神科常规护理,研究组32例在对照组基础上以小组形式实施职业治疗干预。采用痴呆病理行为评定量表(BEHAVEAD)、简易智能状态检查量表(MMSE)、日常生活能力量表(ADL)和护士用住院病人观察量表(NOSIE)评价两组患者精神状况改善程度、社会功能恢复情况及生活质量改善情况。结果研究组患者MMSE、NOSIE、ADL及BEHAVE-AD评分显著优于对照组(P<0.05,P<0.01)。结论职业治疗能有效改善老年痴呆患者的认知功能并稳定患者情绪,从而提高患者日常生活能力及生活质量。Objective To explore the effect of occupational therapy on recovery of patients with dementia. Methods Sixty-three elderly patients with dementia were randomized into two groups. The control group of 31 participants was given medication therapy and routine care, while the study group of 32 subjects additionally received group occupational therapy. The Behavioral Pathology in Alzheimer＇s Disease （BEHAVE-AD） rating scale, Mini-Mental State Examination （MMSE）, Activities of Daily Living （ADL） scale and Nurses＇ Observational Scale for Inpatient Evaluation （NOSIE） were used to evaluate the effect. Results The scores of MMSE and NOSIE were significantly higher, whereas the overall ADL and BEHAVE-AD scores were significantly lower in the study group than the control group （P〈0.05, P〈0.01）. Conclusion Occupational therapy can improve cognitive function, activity of daily living and quality of life of the elderly with dementia, and stabilize their emotion as well.

关 键 词：老年痴呆 职业治疗 康复训练 智力状态 痴呆病理行为 社会功能 日常生活活动能力 

分 类 号：R473.5[医药卫生—护理学]