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多途径延续护理联合同理心干预在老年痴呆症患者中的应用

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目的 探讨多途径延续护理联合同理心干预在老年痴呆症患者干预中的应用效果。方法 选取2021年6月~2023年6月本院收治的老年痴呆症患者154例作为研究对象,随机数字表法分为对照组(n=77)和观察组(n=77),对照组给予常规护理,观察组给予多途径延续护理联合同理心干预。比较两组患者干预前、干预后认知功能[简易精神状态检查量表评分]、自我护理能力(ADL)、老年痴呆患者生活质量评分、意外事件发生情况及护理满意度。结果 干预后,两组记忆力、计算力和注意力、语言能力、定向力、回忆力评分均升高(P<0。05),且观察组记忆力、计算力和注意力、语言能力、回忆力高于对照组(P<0。05);干预后,两组ADL评分均下降(P<0。05),且观察组低于对照组(P<0。05);干预后,两组生理功能、情感职能、精神健康、社会功能及总体健康评分均升高(P<0。05),且观察组高于对照组(P<0。05);观察组意外事件发生率为2。60%,低于对照组11。70%(P<0。05);观察组护理满意度为96。10%,高于对照组84。42%(P<0。05)。结论 多途径延续护理联合同理心干预可改善老年痴呆患者认知功能,提升其自我护理能力和生活质量,降低其意外事件发生风险,提高其对护理的满意度,值得在临床中推广应用。
Application of multi-channel continuous nursing combined with empathy intervention in patients with Alzheimer's disease
Objective To explore the application effect of multi-channel continuous nursing combined with em-pathy intervention in the intervention of patients with Alzheimer's disease.Methods 154 patients with Alzheimer's disease admitted to our hospital from June 2021 to June 2023 were selected as research subjects,and were divided into control group(n=77)and observation group(n=77)by the random number table method.The control group was given routine nursing,and the observation group was given multi-channel continuous nursing combined with empathy inter-vention.Cognitive function(Mini-Mental State Examination score),self-care ability[Activity of Daily Living(ADL)],short-form health survey questionnaire score,occurrence of accidental events and nursing satisfaction of patients in the two groups were compared before and after intervention.Results After intervention,the scores of memory,numeracy and attention,language ability,orientation and recalling in both groups were increased(P<0.05),and the scores of memory,numeracy and attention,language ability and recalling in observation group were higher than those in control group(P<0.05).The ADL scores in both groups were decreased after intervention(P<0.05),and the scores were lower in observation group(P<0.05).The scores of physiological function,emotional function,mental health,social function and overall health were risen in both groups after intervention(P<0.05),and the scores in observation group were higher(P<0.05).The total incidence rate of accidental events in observation group(2.60%)was lower than that in control group(11.70%)(P<0.05).The nursing satisfaction was 96.10%in observation group,which was higher than 84.42%in control group(P<0.05).Conclusion Multi-channel continuous nursing combined with empathy intervention can improve the cognitive function,enhance the self-care ability and quality of life,reduce the risk of ac-cidental events and improve the nursing satisfaction of patients with Alzheimer's disease.

Multi-channel continuous nursingEmpathy interventionAlzheimer's diseaseNursing effect

赵宇、陈德智、何冰怡

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四川大学华西医院神经内科(成都,610041)

多途径延续护理 同理心干预 老年痴呆 护理效果

2024

国际精神病学杂志
中南大学

国际精神病学杂志

CSTPCD
影响因子:1.426
ISSN:1673-2952
年,卷(期):2024.51(6)