阿尔茨海默病患者居家康复护理分析  

Analysis of home rehabilitation nursing for patients with Alzheimer’s disease

作　　者：黄丽娟[1] 黄凤霞[1] 陈丽坚[1] 黄杏笑 梁丽华 HUANG Li-juan;HUANG Feng-xia;CHEN Li-jian(Brain Hospital Affiliated to Guangzhou Medical University,Guangzhou 510370,China)

机构地区：[1]广州医科大学附属脑科医院,510370

出　　处：《中国实用医药》2021年第15期199-202,共4页China Practical Medicine

基　　金：广州市卫生健康科技项目(项目编号:20201A011044)项目名称:阿尔茨海默病患者居家护理风险模型构建。

摘　　要：目的分析阿尔茨海默病(AD)患者居家康复护理的效果。方法200例AD患者随机均衡分为观察组与对照组,每组100例。对照组给予社区常规卫生服务、生活干预,观察组开展为期1年的居家康复护理,组建居家干预小组,开展集体短期培训。对比两组干预前后精神状态、日常生活活动能力、焦虑及抑郁情况。结果干预12个月后,观察组简易精神状态评价量表(MMSE)评分高于本组干预前;对照组MMSE评分低于本组干预前;观察组MMSE评分高于对照组,差异均具有统计学意义(P<0.05)。干预6个月后及干预12个月后,观察组日常生活活动能力量表(ADL)评分均高于本组干预前;观察组ADL评分均高于对照组,差异均具有统计学意义(P<0.05)。干预后,观察组汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分分别为(15.5±1.7)、(18.3±2.4)分,均低于对照组的(21.9±2.8)、(24.9±2.6)分,差异均具有统计学意义(P<0.05)。结论给予AD患者居家康复护理,可延缓其病情进展,改善焦虑抑郁情况,提高家属认知疾病的水平,提高患者生活质量,应用价值可期。Objective To analyze the effect of home rehabilitation nursing for patients with Alzheimer’s disease(AD).Methods A total of 200 AD patients were randomly divided into observation group and control group,with 100 cases in each group.The control group received community routine health service and life intervention,and the observation group carried out a 1-year home rehabilitation nursing,formed a home intervention team to carry out collective short-term training. The mental state, activities of daily living, anxietyand depression before and after intervention were compared between the two groups. Results 12 months afterintervention, the mini-mental state examination (MMSE) score of the observation group was higher than that beforeintervention, and the MMSE score of the control group was lower than that before intervention. The MMSE scoreof the observation group was higher than that of the control group, and the difference was statistically significant(P<0.05). 6 and 12 months after intervention, the activities of daily living (ADL) score of the observation groupwas higher than that before intervention, and the ADL score of the observation group was higher than that of thecontrol group. All the difference was statistically significant (P<0.05). After intervention, the Hamilton anxietyscale (HAMA) score and Hamilton depression scale (HAMD) score of the observation group were (15.5±1.7)and (18.3±2.4) points, which were lower than (21.9±2.8) and (24.9±2.6) points of the control group, and thedifference was statistically significant (P<0.05). Conclusion Home rehabilitation nursing for AD patients candelay the progression of the disease, improve anxiety and depression, improve the cognitive level of the familymembers, and improve their quality of life. The application value can be expected.

关 键 词：居家康复护理 阿尔茨海默病 不良情绪 生活质量 

分 类 号：R473.2[医药卫生—护理学]