叙事护理对阿尔茨海默病患者智力状态及自护能力的影响  

Influence of narrative nursing on mental state and self-care ability of patients with Alzheimer′s disease

作　　者：曾洁芳 李佩真 朱东娴 梁敏慧 ZENG Jie-fang;LI Pei-zhen;ZHU Dong-xian;LIANG Min-hui(Department of TCM Bone-Setting,Guangzhou Liwan Central Hospital,Guangdong Province,Guangzhou 510170,China;Department of Neurology,Guangzhou Liwan Central Hospital,Guangdong Province,Guangzhou 510170,China)

机构地区：[1]广州市荔湾中心医院中医正骨科,广东广州510170 [2]广州市荔湾中心医院神经内科,广东广州510170

出　　处：《中国当代医药》2021年第31期200-202,共3页China Modern Medicine

基　　金：广东省省级科技计划项目(2014A020212688)。

摘　　要：目的探讨叙事护理对阿尔茨海默病(AD)患者智力状态及自护能力的影响。方法前瞻性选取广州市荔湾中心医院2018年5月至2020年5月收治的139例AD患者作为研究对象,按照随机数字表法分为观察组(70例)和对照组(69例)。对照组采用常规护理干预,观察组在对照组的基础上采用叙事护理干预。比较两组干预前、干预2个月后的智力状态、自护能力。结果干预2个月后,观察组的定向力、即刻记忆力、注意力与计算力、回忆能力及语言能力评分高于对照组,差异均有统计学意义(P<0.05)。观察组的自我概念、自我责任感、自我护理技能及健康知识水平评分高于对照组,差异均有统计学意义(P<0.05)。结论叙事护理干预可有效改善AD患者的智力状态,提高患者自护能力。Objective To investigate the influence of narrative nursing on mental state and self-care ability of patients with Alzheimer′s disease(AD).Methods A total of 139 patients with AD who were admitted to Guangzhou Liwan Central Hospital from May 2018 to May 2020 were prospectively selected as the research subjects and divided into the observation group(70 cases)and the control group(69 cases)according to the random number table method.The control group was treated with conventional nursing intervention,and the observation group was treated with narrative nursing intervention on the basis of the control group.The mental state and self-care ability of the two groups were compared before intervention and 2 months after intervention.Results After 2 months of intervention,the scores of directivity,immediate memory,attention and calculation,and recall and language ability in the observation group were higher than those in the control group,with statistical differences(P<0.05).The scores of self-concept,self-responsibility,self-nursing skills and health knowledge in the observation group were higher than those in the control group,with statistical differences(P<0.05).Conclusion Narrative nursing intervention can effectively improve the mental state of patients with AD and improve their self-care ability.

关 键 词：阿尔茨海默病 叙事护理 智力状态 自护能力 

分 类 号：R473[医药卫生—护理学]