微信平台远程认知疗法在阿尔茨海默病患者居家康复治疗中的应用  

Application of WeChat Platform Remote Cognitive Therapy in Home Rehabilitation Treatment of Alzheimer's Disease Patients

作　　者：汪秋艳[1] 方小群 WANG Qiuyan;FANG Xiaoqun(The Second Affiliated Hospital of Nanchang University,Nanchang 330006,China;不详)

机构地区：[1]南昌大学第二附属医院,江西南昌330006

出　　处：《中国医学创新》2023年第32期111-115,共5页Medical Innovation of China

基　　金：江西省卫生健康委科技计划项目(202210664)。

摘　　要：目的:探讨微信平台远程认知疗法在阿尔茨海默病(AD)患者居家康复治疗中的应用效果。方法:选择南昌大学第二附属医院2022年1—6月收治的AD患者80例。采用随机数字表法将其分为对照组和观察组,各40例。两组均口服多奈哌齐治疗,对照组采取基于微信平台的常规康复指导,观察组采取微信平台远程认知疗法治疗。比较两组简易精神状况检查表(MMSE)评分、改良Barthel指数(MBI)及照料者Zarit照顾者负担量表(ZBI)评分。结果:治疗前、治疗12周后,两组MMSE、MBI评分及照料者ZBI评分比较,差异均无统计学意义(P>0.05);治疗24周后,对照组MMSE、MBI评分及照料者ZBI评分相较于治疗前、治疗12周后,差异均无统计学意义(P>0.05);治疗24周后,观察组MMSE、MBI评分均较治疗前显著升高,且均高于对照组,照料者ZBI评分较治疗前显著降低,且低于对照组,差异均有统计学意义(P<0.05)。结论:微信平台远程认知疗法有利于缓解居家康复治疗的阿尔茨海默病患者病情程度,改善患者日常生活能力,同时还能减轻照料者的护理负担,临床应用效果满意。Objective:To explore the application effect of WeChat platform remote cognitive therapy in home rehabilitation of patients with Alzheimer's disease(AD).Method:A total of 80 AD patients admitted to the Second Affiliated Hospital of Nanchang University from January to June 2022 were selected.They were divided into control group and observation group by random number table method,with 40 cases each group.Both groups of patients were treated with Donepezil orally,while the control group was given routine rehabilitation guidance based on WeChat platform,the observation group was treated with WeChat platform remote cognitive therapy.Mini mental state examination(MMSE)score,modified Barthel index(MBI)and caregiver Zarit caregiver burden interview(ZBI)score were compared of the two groups.Result:Before and after 12 weeks of treatment,there were no significant differences between the two groups in MMSE,MBI scores and caregiver ZBI scores(P>0.05);after 24 weeks of treatment,the MMSE,MBI scores and caregiver ZBI scores in the control group compared with those before treatment and after 12 weeks of treatment,the differences were not statistically significant(P>0.05);after 24 weeks of treatment,the MMSE and MBI scores in the observation group were significantly higher than those before treatment,and higher than those in the control group,and the caregiver ZBI score was significantly lower than that before treatment,and lower than that in the control group,the differences were statistically significant(P<0.05).Conclusion:WeChat platform remote cognitive therapy is beneficial for alleviating the severity of Alzheimer's disease patients undergoing home rehabilitation treatment,improve their ability of daily living,and also reduce the nursing burden of caregivers,the clinical application effect is satisfactory.

关 键 词：微信 认知疗法 阿尔茨海默病 

分 类 号：R473.74[医药卫生—护理学]