基于老年综合评估的延续性护理对阿尔茨海默病患者认知状况及日常生活自理能力的影响  

Influence of CGA-based continuing nursing care on the cognitive status and self-care ability of patients with Alzheimer′s disease

作　　者：王璐 毛忠珍 WANG Lu;MAO Zhong-zhen(The 13th Ward,the Third People′s Hospital of Ganzhou City,Jiangxi Province,Ganzhou 341000,China)

机构地区：[1]江西省赣州市第三人民医院十三病区,江西赣州341000

出　　处：《中国当代医药》2021年第16期215-217,共3页China Modern Medicine

基　　金：江西省卫生健康委员会科技计划项目(202140682)。

摘　　要：目的探讨基于老年综合评估(CGA)的延续性护理对阿尔茨海默病(AD)患者认知状况及日常生活自理能力的影响。方法选择江西省赣州市第三人民医院2018年4月~2020年3月收治的88例AD患者,采用随机数字表法分为两组,每组各44例。对照组采取常规随访护理,观察组采取基于CGA的延续性护理,为期3个月。比较两组的认知状况、日常生活自理能力及意外事件发生率。结果两组护理前的老年性痴呆评定量表-认知分量表(ADAS-Cog)、认知状态评价量表(MMSE)、巴氏指数(BI)评分比较,差异无统计学意义(P>0.05);对照组护理前后的ADAS-Cog、MMSE、BI评分比较,差异无统计学意义(P>0.05);观察组护理后的ADAS-Cog、MMSE、BIBI评分高于护理前,且观察组高于对照组,差异均有统计学意义(P<0.05);观察组的意外事件总发生率(6.82%)低于对照组(22.73%),差异有统计学意义(P<0.05)。结论基于CGA的延续性护理能改善AD患者认知状况,提升日常生活自理能力,减少意外事件发生。Objective To explore the impact of continuing nursing care based on comprehensive Geriatric Assessment(CGA)on the cognitive status and self-care ability of patients with Alzheimer′s disease(AD).Methods a total of 88 patients with AD admitted to the Third People′s Hospital of Ganzhou City,Jiangxi Province from April 2018 to March 2020 were selected and divided into two groups by random number table method,44 cases in each group.The control group received routine follow-up care,and the observation group received CGA-based continuation care for a period of 3 months.The cognitive status,daily self-care ability and accident rate were compared between the two groups.Results The two groups of AD assessment scale-cognitive subscale(ADAS-Cog),minimental state examination(MMSE),Barthel index(BI)scores comparison before nursing,the differences were not statistically significant(P>0.05).The scores of ADAS-Cog,MMSE,BI in the control group were compared before and after nursing,the differences were not statistically significant(P>0.05);The scores of ADAS-Cog,MMSE,and BI in the observation group after nursing were higher than those before nursing,and the observation group was higher than the control group,the differences were statistically significant(P<0.05).the total incidence of accidents in the observation group(6.82%)was lower than that of the control group(22.73%),the difference was statistically significant(P<0.05).Conclusion CGA-based continuing nursing care can improve the cognitive status of patients with AD,improve their self-care ability in daily life,and reduce the occurrence of accidents.

关 键 词：阿尔茨海默病 老年综合评估 延续性护理 认知状态 日常生活自理能力 

分 类 号：R473.74[医药卫生—护理学]