目的 探讨基于干预映射理论的护理模式对阿尔茨海默病患者精神行为症状和认知功能的影响.方法 选取2021年3月～2023年2月我院老年精神科就诊的98例阿尔茨海默病住院患者为研究对象.使用随机数字表法将患者随机分为两组,每组各49例.对照组给予常规护理模式,观察组给予基于干预映射理论的护理模式.比较两组干预前后精神行为症状[神经精神病学问卷(the neuropsychiatric inventory questionnaire,NPI-Q)]、认知功能[简易精神状态检查量表(mini-mental state examination,MMSE)及阿尔茨海默病认知部分评定量表(alzheimer's disease assessment scale-cognitive score,ADAS-Cog)]、睡眠质量[匹兹堡睡眠质量指数(pittsburgh sleep quality index,PSQI)]及生活质量[阿尔茨海默病健康相关生活质量问卷(alzheimer's disease-related quality of life scale,ADRDLS)]的变化.结果 干预后,两组NPI-Q患者症状严重程度、照顾者苦恼程度及量表总分均下降(P＜0.05),且观察组更低(P＜0.05).干预后,两组MMSE评分均上升,且观察组更高(P＜0.05);两组ADAS-Cog评分均下降,且观察组更低(P＜0.05).干预后,两组PSQI量表总分及各维度评分均下降(P＜0.05),且观察组更低(P＜0.05).干预后,两组ADRDLS量表评分均上升(P＜0.05),且观察组更高(P＜0.05).结论 基于干预映射理论的护理模式可有效改善阿尔茨海默病患者精神行为症状及认知功能,进而促进其睡眠质量及生活质量提升.
Effect of nursing model based on intervention mapping theory on mental behavior symptoms and cogni-tive function of patients with Alzheimer's disease
Objective To explore the effect of nursing model based on intervention mapping theory on mental be-havior symptoms and cognitive function of patients with Alzheimer's disease.Methods A total of 98 inpatients with Al-zheimer's disease who were admitted to the Department of Neurology of our hospital from March 2021 to February 2023 were selected as the research objects.The patients were randomly divided into two groups by using a random number table method,49 cases in each group.The control group was given routine nursing mode,and the observation group was given nursing mode based on intervention mapping theory.The changes of mental and behavioral symptoms[neuropsychiatric inventory(NPI-Q)],cognitive function[mini-mental state examination(MMSE)and Alzheimer's disease cognitive as-sessment scale(ADAS-Cog)],sleep quality[Pittsburgh sleep quality index(PSQI)]and quality of life[Alzheimer's disease health-related quality of life questionnaire(ADRDLS)]before and after intervention were compared between the two groups.Results After intervention,the severity of symptoms,the degree of distress of caregivers and the total score of the scale in the two groups of NPI-Q patients decreased(P＜0.05),and the observation group was lower(P＜0.05).After intervention,the MMSE scores of the two groups increased,and that of the observation group was higher(P＜0.05).The ADAS-Cog scores of the two groups decreased,and that of the observation group was lower(P＜0.05).After inter-vention,the total score of PSQI scale and the scores of each dimension in the two groups decreased(P＜0.05),and those in the observation group were lower(P＜0.05).After intervention,the scores of ADRDLS scale in both groups increased(P＜0.05),and those in the observation group were higher(P＜0.05).Conclusion The nursing model based on inter-vention mapping theory can effectively improve the mental behavior symptoms and cognitive function of patients with Al-zheimer's disease,and then promote their sleep quality and quality of life.
Alzheimer's diseaseIntervention mappingMental behavior symptomsCognitive function
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