医院—社区—家庭护理干预模式在轻度认知功能障碍患者中的应用  

The effect of hospital-community-family nursing intervention among patients with Mild Cognitive Impairment

作　　者：张菊霞 徐晓琴[2] 丁兆红[3] 王建成[4] ZHANG Juxia;XU Xiaoqin;DING Zhaohong;WANG Jiancheng(Clinical Teaching Department,Gansu Provincial Hospital,Lanzhou,730000,China)

机构地区：[1]甘肃省人民医院临床教学部,兰州市730000 [2]甘肃省人民医院神经内科,兰州市730000 [3]甘肃省人民医院护理部,兰州市730000 [4]甘肃省人民医院医养结合办公室,兰州市730000

出　　处：《中国护理管理》2018年第9期1230-1235,共6页Chinese Nursing Management

基　　金：甘肃省卫生行业科研计划项目(GSWSKY-2015-70);甘肃省人民医院院内科研基金项目(17GSSY1-5)

摘　　要：目的 :观察医院—社区—家庭干预模式对轻度认知功能障碍患者认知功能、日常生活活动能力(ADL)和焦虑、抑郁情绪的影响。方法 :选取116例轻度认知功能障碍患者为研究对象,在进行常规护理和药物治疗的同时,应用医院—社区—家庭干预模式进行认知功能、生活自理能力方面的训练及管理,比较干预前后患者认知功能、ADL及焦虑、抑郁情绪改善情况。结果 :干预6个月后,患者的蒙特利尔认知评估量表(MoCA)、简易智能精神状态检查量表(MMSE)评分明显高于干预前,ADL及焦虑、抑郁评分均有明显改善。结论:应用医院—社区—家庭护理干预模式,可改善轻度认知功能障碍患者的认知功能、ADL及抑郁情绪。Objective： To explore the effect of hospital-community-family nursing intervention on cognitive function, ADL and depressive mood among patients with Mild Cognitive Impairment. Methods： Totally 116 patients with Mild Cognitive Impairment were recruited and intervened using before-after self-controlled methods. Each patient received hospital-community-family intervention besides routine nursing and drug treatment, and the cognitive score, ADL and depression score of patients before and after intervention were compared. Results： The scores of MoCA and MMSE in patients with Mild Cognitive Impairment were significantly higher after the hospital-community-family intervention and ADL and depression scores were both improved. Conclusion： The nursing intervention of hospital-community-family interface interaction has a significant and good effect on cognition, ADL and depression among patients with Mild Cognitive Impairment.

关 键 词：医院-社区-家庭护理干预 轻度认知障碍 影响 

分 类 号：R47[医药卫生—护理学]