多学科协作模式的护理对阿尔茨海默病患者认知功能下降的影响研究  

A survey of multidisciplinary team-based comprehensive nursing on ADL and cognitive function of Alzheimer disease patients

作　　者：赵秀丽 王华枝[1] 孙燕 徐红杰 张倩 陈希[1] 遆慧珍 李芸 乔立艳[1] Xiui ZHAO;Huazhi WANG;Yan SUN;Hongjie XU;Qian ZHANG;Xi CHEN;Huizhen TI;Yun LI;Liyan QIAO(Department of Neurology,Yuquan Hospital,Tsinghua University,Beijing 100049)

机构地区：[1]清华大学玉泉医院神经内科,北京100049

出　　处：《阿尔茨海默病及相关病杂志》2023年第1期73-76,共4页Chinese Journal of Alzheimer's Disease and Related Disorders

摘　　要：目的:多学科协作模式的护理干预对阿尔茨海默病患者认知功能下降的影响。方法:临床纳入2019年12月至2020年12月期间我院收治的88例阿尔茨海默病患者作为研究对象,按随机数字表法将所有患者分为两组各44例。其中44例患者采用常规护理作为对照组,另44例患者采用基于多学科协作模式的综合护理干预作为干预组。观察两组患者生活质量、认知功能以及心理状态情况。结果:护理前两组患者ADL评分无差异,P> 0.05;护理后干预组ADL评分高于对照组,P <0.05。护理前两组患者MoCA、CDR以及CASI评分无差异,P> 0.05;护理后干预组MoCA和CASI评分均大于对照组,CDR评分小于对照组,P <0.05。护理前两组患者HAMA和HAMD评分对比无差异,P> 0.05;护理后干预组HAMA和HAMD评分均低于对照组,P <0.05。结论:多学科协作模式的综合护理干预能明显提高阿尔茨海默病患者的认知功能下降情况,改善患者心理状态和生活质量,值得临床应用及推广。Objective:To study the impact of multidisciplinary team-based comprehensive nursing interventions on the life quality and cognitive function of Alzheimer disease patients.Methods:88 Alzheimer disease patients treated from August 2018 to August 2019 in our hospital were selected as research subjects.According to random number table,patients were divided into two groups,44 cases in each group.44 cases of receiving the routine nursing were set as control group;44 cases of receiving the multidisciplinary team-based comprehensive nursing interventions were set as intervention group.Life quality,cognitive function and mental state were probed.Results:Before care,ADL(activity of daily living scale)scores between groups were not significantly different(P>0.05);after care,ADL scores in intervention group were higher than control group(P<0.05);before care,MoCA(Montreal Cognitive Assessment),CDR(clinical dementia rating)and CASI(cognitive abilities screening instrument)scores between groups were not significantly different(P>0.05);after care,MoCA and CASI scores in intervention group were higher than control group;CDR scores were lower than control group(P<0.05);before care,HAMA(Hamilton Anxiety Scale)and HAMD(Hamilton Depression Scale)scores between groups were not significantly different(P>0.05);after care,HAMD and HAMD scores in intervention group were lower than control group(P<0.05).Conclusion:The multidisciplinary team-based comprehensive nursing interventions can remarkably improve the patient’s cognitive function,mental state and life quality.It is worthy of clinical application and promotion.

关 键 词：阿尔茨海默病 综合护理 多学科协作 日常生活能力 

分 类 号：R473.74[医药卫生—护理学]