叙事家庭疗法在老年卒中后非痴呆认知障碍患者延续护理中的应用  

Application of narrative family therapy in continuous nursing for elderly patients with post-stroke cognitive impairment non-dementia

作　　者：王茹霜 孙虎[2] 盛丹丽 胡晶 Wang Rushuang;Sun Hu;Sheng Danli;Hu Jing(Department of Neurology,Sandun Hospital District of Zhejiang Hospital,Hangzhou 310030,Zhejiang,China;Department of Neurosurgery,Zhejiang Hospital,Hangzhou 310013,Zhejiang,China;Department of Neurology,Zhejiang Hospital,Hangzhou 310013,Zhejiang,China)

机构地区：[1]浙江医院三墩院区神经科,浙江杭州310030 [2]浙江医院神经外科,浙江杭州310013 [3]浙江医院神经内科,浙江杭州310013

出　　处：《中国中西医结合急救杂志》2019年第1期101-104,共4页Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care

基　　金：浙江省医药卫生科技计划项目(2017KY179).

摘　　要：目的探讨叙事家庭疗法在老年卒中后非痴呆认知障碍(PSCIND)患者延续护理中的作用.方法选取浙江医院三墩院区2017年1月至12月初次诊断为PSCIND的老年患者100例,以1~6月出院的患者为对照组,7~12月出院的为试验组,每组50例,最终完成研究者对照组46例、试验组48例.对照组进行的是常规延续护理;试验组根据叙事家庭疗法实施延续护理.比较两组干预12周后蒙特利尔认知评估量表(MoCA)评分、改良Barthel指数(MBI)评分、照顾者负荷量表(ZBI)评分的差异.结果干预前两组患者MoCA、MBI、ZBI评分比较差异均无统计学意义(均P>0.05).干预后,试验组患者MoCA评分明显高于对照组(分:24.61±2.03比22.98±2.34,P<0.05),ZBI评分低于对照组(分:34.89±7.12比38.17±6.53,P<0.05),而试验组与对照组MBI评分比较差异无统计学意义(分:54.65±6.32比52.33±7.36,P>0.05).结论叙事家庭疗法能有效提高老年PSCIND患者的认知功能,降低照顾者负担.Objective To expl ore the effect of continuing nursing care based on narrative family therapy for elderly patients with post-stroke cognitive impairment non-dementia(PSCIND).Methods One hundred elderly patients with PSCIND were firstly diagnosed in Sandun Hospital District of Zhejiang Hospital from January to December 2017,the patients discharged between January and June were set as a control group,and the patients discharged between July and December were arranged in an experimental group,50 cases in each group.Finally,46 cases in control group and 48 cases in experimental group completed the study.The control group was given routine continuing nursing;while the experimental group was given continuing nursing based on nanative family therapy.The differences of Montreal Cognitive Assessment Scale(MoCA),Modified Barthel Index(MBI)score and Caregiver Load Scale(ZBI)score between the two groups after 12 weeks of intervention were compared.Results There were no statistical significant differences in the scores of MoCA,MBI and ZBI between the two groups before intervention(all P>0.05).After intervention,the MoCA score of experimental group was significantly higher than that of control group(24.61±2.03 vs.22.98±2.34.P<0.05),and the ZBI score was obviously lower than that of control group(34.89±7.12 vs.38.17±6.53,P<0.05).But.there was of no statistical significant differenee in MBI score between experimental group and control group(54.65±6.32 vs.52.33±7.36,P<0.05).Conclusion Narrative family therapy in continuing nursing care can effectively improve the cognitive function of elderly patients with PSCIND and reduce the burden of caregivers.

关 键 词：叙事家庭治疗 延续护理 卒中后非痴呆认知障碍 老年人 

分 类 号：R473.6[医药卫生—护理学]