整合照护对阿尔茨海默病患者长期管理的效果评价  

Evaluation of effect of nurse-led integrated care on long-term management of patients with Alzheimer’s disease

作　　者：陈春英[1] 陆子琴 孟莉萍[1] 李君[2] 刘彩霞[2] 许瑛[2] 解艳红[3] Chunying CHEN;Ziqin LU;Liping MENG;Jun LI;Caixia LIU;Ying XU;Yanhong XIE(Department of Rehabilitation Medicine,Zhejiang Hospital,Hangzhou,310013,China)

机构地区：[1]浙江医院康复医学科,杭州市310013 [2]浙江医院护理部,杭州市310013 [3]浙江医院老年综合病房,杭州市310013

出　　处：《中华护理杂志》2019年第7期999-1004,共6页Chinese Journal of Nursing

基　　金：2017年浙江省医药卫生科技计划项目(2017KY172);2018年浙江省医药卫生科技计划项目(2018C35004)

摘　　要：目的探讨整合照护在阿尔茨海默病患者长期管理中的应用效果。方法对2016年3月—2018年3月入住杭州市福利中心的88例阿尔茨海默病患者,给予整合照护方法进行干预,主要包括照护人员课程培训、个案管理、环境布置、团体活动等。使用日常生活活动问卷(Activities of Daily Living Questionnaire,ADLQ)、Zarit照顾负担量表(Zarit Burden Interview,ZBI)和生存质量量表(Quality of Life,QOL),测量并比较干预前、干预3个月后以及6个月后的变化。结果干预3个月和6个月后,患者的ADLQ评分、QOL评分较干预前明显提高,同时患者ZBI评分较干预前明显减轻,差异具有统计学意义(ADLQ:49.32±10.99比52.74±9.31,QOL:16.73±6.16比30.18±4.61,ZBI:31.64±14.73比20.13±11.61;P<0.05)。结论整合照护可用于改善阿尔茨海默病患者的日常生活能力和生活质量,减轻照护人员负担,提高对阿尔茨海默病患者的护理水平。Objective To evaluate the effect of long-term multidisciplinary care in patients with Alzheimer’s disease(AD).Methods A total of 88 patients with AD were enrolled between March 2016 and March 2018 in Hangzhou,and received multidisciplinary care intervention,including training of caregivers,case management,environmental arrangement,group activities,etc. The Activities of Daily Living Questionnaire(ADLQ),Zarit Burden Interview(ZBI),and quality of life(QOL) measurements were used to measure changes of patients with AD.Results The multidisciplinary care greatly increased patients’ ADLQ and QOL scores,alleviated the burden on caregivers after 3 and 6 months of intervention,and the differences were significant(P<0.05).Conclusion The present study provides evidence that the multidisciplinary care is beneficial to the long-term management in patients with AD in terms of increasing activities of daily living and quality of life,as well as reducing care burden.

关 键 词：阿尔茨海默病 护理人员 在职培训 环境设计 运动活动 日常生活能力 生活质量 

分 类 号：R473.74[医药卫生—护理学]