养老机构阿尔茨海默病患者多学科协作团队照护模式的实施及效果  

Practice and effects of MDT care mode in senile dementia patients from pension institution

作　　者：刘彩霞[1] 严静[1] 许瑛[1] 金肖青[1] 李君[1] 陈春英[1] 林坚[1] 郭英[1] 项巧珍[1] 

机构地区：[1]浙江医院护理部,杭州市310013

出　　处：《中国护理管理》2017年第6期799-803,共5页Chinese Nursing Management

基　　金：港澳台科技合作专项项目(2014DFT30100);浙江省医药卫生一般研究计划(2015KYA004)

摘　　要：目的 :分析MDT照护模式对阿尔茨海默病患者生存质量的影响。方法 :采用方便抽样的方法选取2015年7月至2016年3月某养老院的阿尔茨海默病患者74例进行MDT照护干预,比较干预前、干预3个月、干预6个月患者日常生活活动问卷(ADLQ)和生存质量(QOL-AD)评分情况。结果 :干预6个月后患者的日常生活活动问卷单项评分均低于干预前,其中患者自我照顾、家务、休闲活动及外出、沟通依赖程度下降明显(P<0.05)。阿尔茨海默病患者的生存质量评分(照料者版)及阿尔茨海默病患者的生存质量评分(患者版)均高于干预前(P<0.05)。结论 :MDT照护模式能有效降低养老机构阿尔茨海默病患者日常生活活动的依赖程度,提高患者的生存质量。Objective： To explore the effects of MDT care mode on quality of life of senile dementia patients. Methods： Using convenience sampling method, a total of 74 senile dementia patients from a pension institution were recruited from July 2015 to March 2016 and MDT comprehensive intervention was used. The scores of Activities of Daily Living Questionnaire （ADLQ） and the Quality of Life-Alzheimer Disease （QOL-AD） were compared at baseline, intervention for 3 and 6 months. Results： Scores ofADLQ subscales at 6 months later were lower than baseline and there were significantly lower in the self-care, household care, employment and recreation, communication （P〈0.05）. Both QOL- AD （caregivers rated） and QOL-AD （patients rated） scores were higher than baseline （P〈0.05）. Conclusion： MDT care mode can effectively reduce the dependence of daily life activities on senile dementia patients and improve the quality of life of them. Optimizing the MDT care mode and improving the overall quality of care need research in-depth in the further.

关 键 词：阿尔茨海默病 照护 日常生活活动 生存质量 

分 类 号：R47[医药卫生—护理学]