主要照护者集束化知信行培训对住院老年痴呆患者认知转归的影响  

Effect of cluster knowledge-attitude-practice training for main caregivers on the cognitive outcome of hospitalized patients with senile dementia

作　　者：张琰[1] 黄利宾 符茜茜 梁丽[1] 俸献珠[1] ZHANG Yan;HUANG Libin;FU Qianqian;LIANG Li;FENG Xianzhu(Nursing Department,Jiangbin Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021,China)

机构地区：[1]广西壮族自治区江滨医院护理部,广西南宁530021

出　　处：《临床医学研究与实践》2023年第30期130-133,共4页Clinical Research and Practice

基　　金：广西壮族自治区卫生和计划生育委员会自筹经费科研课题(No.Z2016239)。

摘　　要：目的探究主要照护者集束化知信行培训对住院老年痴呆患者认知转归的影响。方法选取2018年1月至2019年1月广西壮族自治区江滨医院神经内科的100例住院老年痴呆患者及其主要照护者为研究对象,随机将其分为对照组和观察组,各50例。对照组主要照护者给予常规管理,观察组主要照护者在对照组基础上进行集束化知信行培训。比较两组的干预效果。结果干预后,观察组主要照护者的中文版痴呆知识评估量表(C-DKAS)各维度评分高于对照组,差异具有统计学意义(P<0.05)。干预后3、6个月,观察组患者的简易智能状态量表(MMSE)评分均高于对照组,差异具有统计学意义(P<0.05)。干预后,观察组患者的日常生活能力量表(ADL)评分高于对照组,差异具有统计学意义(P<0.05)。结论集束化知信行培训可有效改善主要照护者照护水平,促进住院老年痴呆患者认知转归。Objective To explore the effect of cluster knowledge-attitude-practice training for main caregivers on the cognitive outcome of hospitalized patients with senile dementia.Methods A total of 100 hospitalized patients with senile dementia and their main caregivers in the neurology department,Jiangbin Hospital of Guangxi Zhuang Autonomous Region from January 2018 to January 2019 were selected as the research objects and randomly divided into control group and observation group,with 50 cases in each group.The control group main caregiver was given routine management,and the observation group main caregiver was given cluster knowledge-attitude-practice training on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the scores of each dimension of the Chinese Version of Dementia Knowledge Assessment Scale(C-DKAS)of the main caregiver in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).At 3 and 6 months after intervention,the Mini-Mental State Examination(MMSE)score of patients in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).After intervention,the Activities of Daily Living Scale(ADL)score of patients in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The cluster knowledge-attitude-practice training can effectively improve the care level of main caregiver,and promote the cognitive outcome of hospitalized patients with senile dementia.

关 键 词：主要照护者 集束化 知信行培训 老年痴呆 认知功能 

分 类 号：R473.74[医药卫生—护理学]