Objective To establish Montessori feeding training based on action research method,observe its influence on eating behavior of patients with Alzheimer's disease,so as to provide theoretical basis for improving patients'ability to eat independently and reducing the burden of caregivers.Methods A total of 104 patients with Alzheimer's disease treated in the First Affiliated Hospital of Wenzhou Medical University from March 2022 to March 2023 were divided into two groups by random number table method.The control group(52 cases)received routine feeding care intervention,and the observation group(52 cases)received Montessori feeding training intervention based on action research method.The eating behavior,eating capacity and nutritional status of the two groups were compared before and after the intervention.Results The incidence of abnormal eating behavior in the observation group was lower than that in the control group(P＜0.05),and the time of eating independently was longer than that in the control group[(17.89±3.11)min vs.(11.34± 2.10)min,t=13.568,P＜0.05).The score of eating behavior scale(EBS)was higher than that of control group(14.23±3.14 vs.10.12±2.67,t=9.076,P＜0.05),and the Edinburgh feeding evaluation in dementia scale(EdFED)was lower than that of control group(10.13±2.11 vs.16.34±3.56,t=11.906,P＜0.05),the score of mini nutritional assessment(MNA)was higher than that of control group(10.67±2.18 vs.8.33±1.14,t=10.987,P＜0.05).There was no significant difference in BMI between the two groups(20.47±4.12 vs.20.24±4.67,t=0.675,P＞0.05).Conclusion Montessori feeding training based on action research has a positive effect on reducing abnormal eating behavior,improving eating ability and preventing malnutrition in patients with Alzheimer's disease.
关键词
阿尔茨海默病/蒙台梭利进食训练/行动研究法/进食行为/营养状况
Key words
Alzheimer's disease/Montessori feeding training/Action research method/Eating behavior/Nutritional status
维普
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