Effects of multi-channel continuous nursing combined with empathy intervention on cognitive function of patients with Alzheimer's disease
Objective To explore the effects of multi-channel continuous nursing combined with empathy intervention on cognitive function of patients with Alzheimer's disease(AD).Methods A total of 88 elderly patients with AD admitted to Geriatrics Hospital of Pudong New District from December 2022 to August 2023 were enrolled and divided into observation group(n =44)and control group(n =44)according to random number table method.The control group received routine reha-bilitation nursing intervention,while the observation group received multi-channel continuous nursing combined with empathy intervention.The duration of intervention was 12 months.The scores of Connor-Davidson Resilience Scale(CD-RISC)and Medical Coping Modes Questionnaire(MCMQ),levels of serum inflammatory factors[tumor necrosis factor-α(TNF-α),inter-leukin-1β(IL-1β),interleukin-6(IL-6)],cognitive function[Mini-Mental State Examination(MMSE),Clock Drawing Test(CDT),Loewenstein Occupational Therapy Cognitive Assessment(LOTCA)],scores of activity of daily living(ADL)and quality of life-Alzheimer's disease(QOL-AD),and nursing satisfaction were compared between the two groups.Results After intervention,the scores of CD-RISC,MMSE,CDT,LOTCA,ADL,QOL-AD and positive coping in MCMQ of both groups were higher than those of the same group before intervention,and the scores of the observation group were higher than those of the control group(P<0.05);the score of negative coping in MCMQ of both groups was lower than that of the same group be-fore intervention,and the score of the observation group was lower than that of the control group(P<0.05);the levels of TNF-α,IL-1β and IL-6 of both groups were lower than those of the same group before intervention,and the levels of above in-dexes of the observation group were lower than those of the control group(P<0.05).The nursing satisfaction rate in the ob-servation group was higher than that in the control group(93.18%vs77.27%,P<0.05).Conclusion The combination of multi-channel continuous nursing and empathy intervention can improve the cognitive function of elderly AD patients,effective-ly enhance their psychological resilience,change their disease coping styles,reduce the level of inflammatory factors,thereby improving their cognitive function,self-care ability,quality of life and satisfaction,and promote rehabilitation.The nursing effect is significant,and it has certain clinical application value.
elderlyAlzheimer's diseasecontinuous nursingmulti-channel nursingempathycognitive function