家庭认知功能训练对轻中度阿尔茨海默病患者生活质量和认知功能的影响  

Effects of Family Cognitive Function Training on Quality of Life and Cognitive Function in Patients with Mild to Moderate Alzheimer's Disease

作　　者：陈玲[1] 徐琼[1] 万菲[1] 王晓轩[1] 

机构地区：[1]湖北省荆州市精神卫生中心,434000

出　　处：《中国健康心理学杂志》2017年第7期989-993,共5页China Journal of Health Psychology

基　　金：荆州市医疗卫生科技计划项目(编号:20131605)

摘　　要：目的:探讨家庭认知功能训练对轻中度阿尔茨海默病患者的护理方法及实施效果。方法:采用2014年9月至2016年1月在荆州市精神卫生中心老年科住院的轻中度阿尔茨海默病患者80例,随机分为研究组(39例,精神科老年病房常规护理合并家庭认知功能训练)和对照组(41例,精神科老年病房常规护理),训练前后采用生活质量量表简表(WHOQOL-BREF)评定生活质量,采用韦氏成人智力量表(WAIS)及威斯康星卡分类测验(WCST)评价认知功能。结果:训练6月后,(1)研究组WHOQOL-BREF量表在心理领域、社会关系领域改善程度明显优于对照组(t=4.0885,3.7472;P<0.05);(2)研究组WAIS量表在言语智商维度改善程度明显优于对照组(t=2.3126,P<0.05);(3)研究组WCST量表在总测验数、正确百分数维度改善程度优于对照组(t=-2.1353,2.0571;P<0.05)。结论:家庭认知功能训练能明显改善阿尔茨海默病患者的生活质量和认知功能,值得临床推广。Objective：To explore the nursing method and effect of family cognitive function training in patients with mild to moderate Alzheimer＇s disease.Methods：From September 2014 to January 2016,80 mild to moderate Alzheimer＇s disease patients hospitalized in the Department of geriatrics at Jingzhou mental health center were randomly di- vided into study group（39 cases,routine nursing care of patients with psychiatric ward for the elderly family cogni- tive function training）and control group（41 cases, the psychiatric ward for the elderly,with routine nursing）.Before and after training,the quality of life scale（WHOQOL--BREF）,Weehsler Adult Intelligence Scale（WAIS）and Wis- consin Card Sorting Test（WCST）were used.Results：After 6 months of training,WHOQOL--BREF scale scores in the study group were significantly higher than those in the control group in the field of psychology and social rela- tions（t = 4.0885,3.7472, P 〈0.05） ;In the study group, WAIS scale scores were higher than that in the control group in verbal IQ dimensions（t = 2. 3126, P 〈0.05）;In the study group, total responses and the correct percentage of WCST table were better than those in the control group（t =-2.1353,2. 0571, P 〈0.05）.Conclusion：Family cognitive function training can significantly improve the quality of life and cognitive function of patients with Alzheimer＇s dis- ease, which is worthy of clinical promotion.

关 键 词：阿尔茨海默病 家庭认知功能训练 生活质量 认知功能 

分 类 号：R395.4[哲学宗教—心理学] R749.055[医药卫生—医学心理学]