以家庭为基础的心理护理对老年痴呆患者家庭复原力 安全感的影响  

Effect of family-based psychological nursing on family resilience and safety of patients with Alzheimer's disease

作　　者：霍仙娜 胡云霞[1] 袁丽霞[1] 黄静[1] 姜建慧[1] 白丹[1] HUO Xianna;HU Yunxia;YUAN Lixia;HUANG Jing;JIANG Jianhui;BAI Dan(The Seventh People's Hospital of Zhengzhou,Zhengzhou 450000,Henan,China)

机构地区：[1]郑州市第七人民医院,河南郑州450000

出　　处：《中国实用神经疾病杂志》2020年第10期902-907,共6页Chinese Journal of Practical Nervous Diseases

基　　金：河南省医学科技攻关项目(编号:2018020860)。

摘　　要：目的探讨以家庭为基础的心理护理对老年痴呆患者家庭复原力、安全感的影响。方法选取2018-01—2019-05郑州市第七人民医院收治的老年痴呆患者112例,随机分为观察组(n=56)、对照组(n=56)。对照组采取常规护理,观察组在常规护理基础上采取以家庭为基础的心理护理,均护理3个月。比较2组护理3个月后Cornell痴呆抑郁量表(CSDD)、安全感评分(SQ)、家庭复原力评分、社会支持程度评分(SRRS)、家庭功能评定量表评分(FAD)、简易智力状态检查量表(MMSE)、老年痴呆生活质量量表(QOL-AD)评分。结果护理3个月后观察组CSDD评分低于对照组,SQ量表人际安全感、确定控制感评分高于对照组(P<0.05);观察组护理3个月后清晰交流、困境解读、秩序井然、正向前瞻、社会支持、生活卓越、亲密和谐、问题解决、情感分享、合作协调维度评分高于对照组(P<0.05);观察组护理3个月后SRRS、FAD评分高于对照组(P<0.05);观察组护理3个月后MMSE、QOL-AD评分均高于对照组(P<0.05)。结论以家庭为基础的心理护理可改善老年痴呆患者抑郁情绪与认知功能,增加患者安全感,提高患者家庭复原力、社会支持度与家庭功能,改善患者生活质量。Objective To explore the effect of family-based psychological nursing on family resilience and safety of patients with Alzheimer's disease.Methods A total of 112 patients with Alzheimer's disease admitted to our hospital from January 2018 to May 2019 were enrolled in the observation group(n=56)and the control group(n=56).The control group received routine care,and the observation group took family-based psychological care on the basis of routine care,all of which were treated for 3 months.The Cornell Dementia Depression Scale(CSDD),Safety Score(SQ),Family Resilience Score,Social Support Level Score(SRRS),Family Function Rating Scale(FAD),and Simple Intelligence Status were compared after 3 months of care.Checklist(MMSE),Alzheimer's Quality of Life Scale(QOL-AD)score.Results After 3 months of nursing,the CSDD score of the observation group was lower than that of the control group.The SQ scale had better interpersonal safety and the control score than the control group(P<0.05).The observation group had clear communication,dilemma interpretation and order after 3 months of nursing.Well,forward-looking,social support,life excellence,intimate harmony,problem solving,emotional sharing,cooperation and coordination dimension scores were higher than the control group(P<0.05);the SRRS and FAD scores of the observation group were higher than the control group after 3 months of nursing(P<0.05);MMSE and QOL-AD scores were higher in the observation group than in the control group after 3 months of treatment(P<0.05).Conclusion Family-based psychological care can improve depression and cognitive function in patients with Alzheimer's disease,increase patient safety,improve family resilience,social support and family function,improve patient quality of life.

关 键 词：家庭 心理护理 老年痴呆 家庭复原力 安全感 抑郁 社会支持 

分 类 号：R473.74[医药卫生—护理学]