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作 者:杨路静 范雪 张旭东[1] YANG Lu-jing;FAN Xue;ZHANG Xu-dong(Department of Neurology,Beijing Friendship Hospital Affiliated to Capital Medical University,Beijing 100050,China;Peking University School of Medicine,Beijing 100191,China)
机构地区:[1]首都医科大学附属北京友谊医院神经内科,北京100050 [2]北京大学医学部,北京100191
出 处:《神经损伤与功能重建》2022年第12期757-760,812,共5页Neural Injury and Functional Reconstruction
摘 要:目的:探析社会支持对老年轻度认知障碍(MCI)患者的自我效能及生活质量的影响。方法:采取便利抽样法选择我院收治的诊断为MCI的患者206例,使用一般人口学资料调查表、领悟社会支持量表(PSSS)、一般自我效能量表(GSES)及阿尔茨海默病生活质量汉译量表(QOL-AD)对患者及其家属进行问卷调查并分析。结果:本组206 MCI例患者的QOL-AD总分为(32.05±2.31)分,GSES评分为(33.45±3.57)分,PSSS评分为(53.14±4.35)分,均处于中低程度水平。不同年龄、文化程度、当前居住地、当前居住状况、家庭收入、医疗支付方式、人际关系状况患者的QOL-AD差异有统计学意义(P<0.05)。MCI患者的QOL-AD评分中各项均与PSSS量表中的社会支持总分呈显著正相关(P<0.05),MCI患者的QOL-AD评分中的身体健康状况、精力、情绪、居住情况、记忆力、与家人关系、婚姻状况、对自己的整体感觉与GSES总分呈显著正相关(P<0.05)。结论:临床医护人员应重视老年MCI患者的自我效能感,充分应用社会支持,制定科学可行、高质量的自我管理项目和方案,提升生命质量,延缓阿尔茨海默病的进程。Objective:To explore the effect of social support on the self-efficacy and quality of life of elderly patients with mild cognitive impairment(MCI).Methods:Convenience sampling was used to select 206 MCI patients in our hospital.A survey and analysis were conducted on patients and their family using the general demographic data questionnaire,perception of social support scale(PSSS),general self-efficacy scale(GSES),and Chinese translation of the Alzheimer’s disease quality of life scale(QOL-AD).Results:The 206 MCI patients had a QOL-AD total score of(32.05±2.31),GSES score of(33.45±3.57),and PSSS score of(53.14±4.35),all of which were considered low-moderate levels.Patients with a different age,education level,location of residence,condition of residence,family income,mode of medical expense,and quality of interpersonal relationships showed a significant difference in QOL-AD score(P<0.05).All item scores on the QOL-AD were positively correlated with the social support score of the PSSS(P<0.05).The physical health,energy,mood,living conditions,memory,relationship with family members,marital status,and overall feelings about oneself item scores on the QOL-AD were significantly positively correlated with the GSES total score(P<0.05).Conclusion:Clinical medical staff should recognize the self-efficacy of elderly patients with MCI,promote the utilization of social support,and formulate scientifically feasible and high-quality self-management projects and programs,so as to improve the quality of life and delay the progression of Alzheimer’s disease.
分 类 号:R741[医药卫生—神经病学与精神病学] R741.05[医药卫生—临床医学] R493
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