医养结合视域下机构养老中延续护理对阿尔茨海默病患者的效果评价  

Evaluation of the effect of continuous nursing on alzheimer's patients in pension institutions under the perspective of combination of medical and nursing

作　　者：朱文娟[1] 周正武[2] 赵久华[1] 黄梅[1] 胡俊[2] 杨丽[2] ZHU Wen-juan(West Anhui health vocational college,Lu'an,Anhui,237005,China)

机构地区：[1]皖西卫生职业学院,安徽六安237005 [2]安徽医科大学第六附属医院

出　　处：《齐齐哈尔医学院学报》2020年第3期372-374,共3页Journal of Qiqihar Medical University

基　　金：安徽省教育厅2018年度人文科研重点研究项目(SK2018A1013);安徽省高等学校教学研究2017年度省级质量工程项目(2017jyxm1007)。

摘　　要：目的探索在医养结合视域下对阿尔茨海默病(AD)患者实施出院延续护理。方法选取2017年1月-2018年3月于安徽某医院出院并在养老机构入住的AD患者70例作为研究对象,出院后实施医养结合在养老机构延续性护理。随机分为研究组和对照组两组,每组各35例。对照组实施一般性护理,研究组出院后实施1年的延续护理。分别于护理后1个月、6个月、12个月后进行延续护理的效果评价。结果出院延续护理前和入住6个月、入住12个月的AD患者简易智力状态检查(MMSE)评分差异有统计学意义(P<0.05);AD患者工具性日常生活能力、日常生活活动能力评定(ADL)总分差异有统计学意义(P<0.05),躯体生活能力差异无统计学意义(P>0.05)。与出院前相比,延续护理6个月、12月的AD患者工具性日常生活能力、 ADL总分均降低,差异有统计学意义(P<0.05)。结论在医养结合养老机构对老年人AD患者出院后实施延续护理,可有效降低老人再入院次数,延缓疾病发展,提高老年人的生活自理能力和生存质量。Objective To explore the implementation of continuous discharge care for patients with alzheimer's disease(AD)from the perspective of combination of medical and nursing care.Methods A total of 70 AD patients discharged from the sixth affiliated hospital of Anhui from January 2017 to March 2018 and admitted to the pension institutions were selected as the study subjects.Randomly divided them into study group and control group,each group of 35 cases.The control group carried out general nursing,and the study group carried out continuous nursing for 1 year after discharge.Effect of continuous nursing was evaluated at 1 month,6 months and 12 months after nursing.Instrumental activities of daily living.Results The MMSE scores of AD patients at the 6th and 12th month after admitted to the pension institutions were significantly different from that before they received continuous nursing(P<0.05).There were significant differences in the total score of instrumental activities of daily living and activity of daily living(ADL)(P<0.05),however,there was no significant difference in physical living ability.The instrumental daily living ability and ADL score of AD patients who received continuous nursing care for 6 months and 12 months were all decreased,with statistically significant differences(P<0.05).Conclusions Continuous nursing care for AD patients after discharge in a combination of medical and nursing institutions could effectively reduce the number of readjustments,delay the development of the disease,and improve the self-care ability and quality of life of the elderly.

关 键 词：医养结合 阿尔茨海默病 延续护理 效果评价 

分 类 号：R473.74[医药卫生—护理学]