基于奥马哈的社区痴呆预防模式对脑卒中患者认知功能、睡眠障碍及生活质量的影响  

Effect of the community dementia prevention mode based on Omaha intervention system on cognitive function,sleep disorder,and quality of life in stroke patients

作　　者：黄延锦 王琪 阳晶 HUANG Yanjin;WANG Qi;YANG Jing(School of Nursing,Hengyang Medical College,University of South China,Hunan Province,Hengyang421001,China;Department of Nursing,the Second Affiliated Hospital of University of South China,Hunan Province,Hengyang421001,China)

机构地区：[1]南华大学衡阳医学院护理学院,湖南衡阳421001 [2]南华大学附属第二医院护理部,湖南衡阳421001

出　　处：《中国当代医药》2024年第2期157-161,共5页China Modern Medicine

基　　金：湖南省教育厅科学研究项目(20B495);湖南省衡阳市指导性项目(F2018F9C31022244,2019124)。

摘　　要：目的探讨以奥马哈干预系统指导下的社区痴呆预防模式在脑卒中患者中的应用效果。方法选取2022年3月至5月衡阳市人民路社区、华新社区、黄茶岭社区、南华社区的80例脑卒中患者为研究对象,按照随机数字表法分为干预组(38例)和对照组(37例)。对照组采用常规社区护理方法,干预组采用基于奥马哈干预系统的社区痴呆预防模式的管理方法。比较两组的简易精神状态量表(MMSE)评分、匹兹堡睡眠量表(PSQI)评分、脑卒中专门化生活质量量表(SS-QOL)评分和满意度。结果两组患者干预前的MMSE、PSQI、SS-QOL评分比较,差异无统计学意义(P>0.05)。干预组干预3个月后的MMSE、SS-QOL评分均高于对照组,PSQI评分低于对照组,差异有统计学意义(P<0.05)。干预对象对社区脑卒中痴呆预防干预模式的满意度超过80%。结论社区脑卒中患者接受基于奥马哈干预系统的社区痴呆预防模式管理,可以改善患者的认知功能和睡眠质量,提高生活质量,具有较高的护理满意度。Objective To explore the effect of community dementia prevention mode guided by omaha intervention system in stroke patients.Methods A total of 80 stroke patients from Renmin Road Community,Huaxin Community,Huangchaling Community,and Nanhua Community in Hengyang City from March 2022 to May 2022 were selected as the study objects,and they were divided into intervention group(38 cases)and control group(37 cases)according to random number table method.The control group received routine community nursing,while the intervention group received management methods based on the omaha intervention system for community dementia prevention.The mini-mental state examination(MMSE)score,Pittsburgh sleep scale(PSQI)score,stroke specialized quality of life scale(SS-QOL)score and satisfaction scores were compared between the two groups.Results There were no significant differences in MMSE,PSQI and SS-QOL scores between the two groups before intervention(P>0.05).After 3 months of intervention,MMSE and SS-QOL scores in the intervention group were higher than those in the control group,and PSQI scores were lower than those in the control group,with statistical significances(P<0.05).The satisfaction rate with the community dementia prevention intervention model among the intervention subjects exceeded 80%.Conclusion Stroke patients receiving the management of community dementia prevention mode based on omaha intervention system can improve the cognitive function sleep quality and quality of life,so as to have high nursing satisfaction.

关 键 词：奥马哈干预系统 卒中后认知功能障碍 卒中后痴呆 睡眠障碍 生活质量 

分 类 号：R473[医药卫生—护理学]