家庭协同制订个性化居家护理在阿尔茨海默病患者中的应用效果  

Application effects of family collaboration-developed personalized home care in patients with Alzheimer disease

作　　者：杨玲[1] YANG Ling(Department of Critical Nursing Medicine of Central Hospital Affiliated to Shenyang Medical College,Shenyang 110024 Liaoning,China)

机构地区：[1]沈阳医学院附属中心医院重症医学科,辽宁沈阳110024

出　　处：《中国民康医学》2023年第8期180-183,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察家庭协同制订个性化居家护理(PHC)在阿尔茨海默病(AD)患者中的应用效果。方法:选取2018年3月至2020年2月该院收治的94例AD患者进行前瞻性研究,按照随机数字表法将其分成对照组与观察组各47例。对照组实施常规护理,观察组在对照组基础上实施家庭协同制订PHC。比较两组护理前后认知功能[简易精神状态检查量表(MMSE)]评分、自理能力[日常生活活动能力(ADL)]评分、社会适应功能[社会适应功能评估量表(SAFE)]评分、生命质量[生活质量综合评定问卷-74(GQOL-74)]评分,以及不良事件发生率和护理满意度。结果:护理后,观察组MMSE、ADL、GQOL-74评分均高于对照组,SAFE评分低于对照组,差异有统计学意义(P<0.05);观察组不良事件发生率为2.13%(1/47),低于对照组的17.02%(8/47),差异有统计学意义(P<0.05);观察组护理满意度为93.62%(44/47),高于对照组的76.60%(36/47),差异有统计学意义(P<0.05)。结论:在常规护理基础上采用家庭协同制订PHC可提高AD患者MMSE、ADL、GQOL-74评分和护理满意度,降低SAFE评分和不良事件发生率,效果优于单纯常规护理。Objective:To observe application effects of family collaboration-developed personalized home care(PHC)in patients with Alzheimer disease(AD).Methods:A prospective study was conducted on 94 AD patients admitted to the hospital from March 2018 to February 2020.They were divided into control group and observation group according to the random number table method,47 cases in each.The control group was given routine nursing,while the observation group was given family collaboration-developed PHC on the basis of that of the control group.The scores of cognitive function[mini mental state examination(MMSE)],the self-nursing ability[activities of daily living(ADL)],the social adaptation function[social adaptation function examination(SAFE)],the quality of life score[general of quality of life inventory-74(GQOL-74)],the incidence of adverse events,and the nursing satisfaction were compared between the two groups before and after the nursing.Results:After the nursing,the scores of MMSE,ADL and GQOL-74 in the observation group were higher than those in the control group,the SAFE score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The observation group had lower incidence of adverse events as 2.13%(1/47)than 17.02%(8/47)in the control group,and the difference was statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 93.62%(44/47),which was higher than 76.60%(36/47)of the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the family collaboration-developed PHC can improve the scores of MMSE,ADL,GQOL-74 and the nursing satisfaction of the AD patients,and reduce the SAFE score and the incidence of adverse events.Moreover,it is superior to single routine nursing.

关 键 词：阿尔茨海默病 家庭协同制订个性化居家护理 认知功能 自理能力 社会适应功能 生命质量 不良事件 

分 类 号：R473[医药卫生—护理学]