综合护理干预在轻中度老年期痴呆患者中的应用效果  

Application Effect of Comprehensive Nursing Intervention in Senile Patients with Mild and Moderate Dementia

作　　者：朱宏伟[1] 张展星[1] 金善良[2] 

机构地区：[1]上海市宝山区精神卫生中心,201900 [2]上海交通大学医学院附属第九人民医院,上海市201900

出　　处：《实用心脑肺血管病杂志》2017年第10期110-113,共4页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

基　　金：上海市宝山区科学技术委员会科研项目(12-E-36)

摘　　要：目的观察综合护理干预在轻中度老年期痴呆患者中的应用效果。方法选取2014年10月—2015年10月上海市宝山区精神卫生中心收治的轻中度老年期痴呆患者100例,采用随机信封抽签法分为对照组和观察组,每组50例。对照组患者给予单一常规药物治疗,观察组患者在对照组基础上给予综合护理干预;两组患者均连续干预12周。比较两组患者干预前后蒙特利尔认知评估量表(MoCA)评分、神经精神量表(NPI)评分及干预后简明健康状况调查问卷(SF-36)评分。结果干预前两组患者MoCA评分和NPI评分比较,差异无统计学意义(P>0.05);干预后观察组患者MoCA评分和NPI评分高于对照组(P<0.05)。干预后两组患者MoCA评分和NPI评分均高于干预前(P<0.05)。干预后观察组患者生理功能、生理职能、身体疼痛、总体健康评分均高于对照组(P<0.05)。结论综合护理干预在轻中度老年期痴呆患者中的应用效果良好,可有效改善患者认知功能、精神状态及生活质量。Objective To observe the application effect of comprehensive nursing intervention in senile patients with mild and moderate dementia. Methods From October 2014 to October 2015,a total of 100 senile patients with mild and moderate dementia were selected in the Mental Health Center of Baoshan District,Shanghai,and they were divided into control group and observation group,each of 50 cases. Patients of control group received conventional medical treatment only,while patients of observation group received comprehensive nursing intervention based on conventional medical treatment; both groups continuously intervened treated for 12 weeks. MoCA score and NPI score before and after intervention, and SF-36 score after intervention were compared between the two groups. Results No statistically significant differences of MoCA score or NPI score was found between the two groups before intervention（ P〈0. 05）,while MoCA score and NPI score of observation group were statistically significantly higher than those of control group after intervention（ P〈0. 05）; after intervention,MoCA score and NPI score of the two groups were statistically significantly higher than those before intervention（ P〈0. 05）. Physiological function score, physiological role score, body pain score and overall health score of observation group were statistically significantly higher than those of control group after intervention（ P〈0. 05）. Conclusion Comprehensive nursing intervention has good application effect in senile patients with mild and moderate dementia,can effectively improve the cognitive function,mental status and quality of life.

关 键 词：痴呆 老年人 综合护理干预 治疗结果 

分 类 号：R749.16[医药卫生—神经病学与精神病学]