首页|NNN-链接护理模式在阿尔茨海默病家庭照护者中的应用

NNN-链接护理模式在阿尔茨海默病家庭照护者中的应用

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目的 探讨NNN-链接护理模式在阿尔茨海默病家庭照护者中的应用效果.方法 将 2021 年 1-12 月医院收治的阿尔茨海默病患者 96 例及其家庭照护者 96 名为研究对象,按照组间基本特征具有可比性的原则分对照组和观察组,各 48 例和 48 名.对照组对家庭照护者实施常规护理干预,观察组对家庭照护者实施NNN-链接护理模式进行干预.比较两组患者认知功能量表(MMSE)、日常生活能力量表评分及家庭照护者SCL-90各维度评分、家庭照护能力量表(FCTI)各维度评分.结果 护理干预前,两组患者MMSE量表各维度评分及总分的比较,差异无统计学意义(P>0.05);护理干预 6 个月后,观察组患者MMSE量表中的定向力、记忆力、计算力、注意力、回忆能力、语言能力及总评分均高于对照组,差异有统计学意义(P<0.05).护理干预前,两组患者日常生活能力评分的比较,差异无统计学意义(P>0.05);护理干预6个月后,观察组患者日常生活能力评分均高于对照组,差异有统计学意义(P<0.05).护理干预前,两组家庭照护者SCL-90量表中的强迫、人际关系敏感、焦虑、抑郁、躯体化、敌对、恐怖、偏执、精神病性评分的比较,差异无统计学意义(P>0.05);护理干预6个月后,观察组家庭照护者SCL-90各维度评分均低于对照组,差异有统计学意义(P<0.05).护理干预前,两组家庭照护者FCTI各维度评分的比较,差异无统计学意义(P>0.05);护理干预 6 个月后,观察组家庭照护者FCTI量表中适应照顾角色、处理个人情绪、应变以提供协助、调整生活满足照顾需求及评估家人与社区资源评分均低于对照组,差异有统计学意义(P<0.05).结论 NNN-链接护理模式可促进阿尔茨海默病患者家庭照护者身心健康,提高照护能力,从而提高患者认知功能及日常生活能力.
Application of NNN-Linked nursing model in family caregivers of Alzheimer's disease
Objective To explore the application effect of NNN-linked nursing model in family caregivers with Alzheimer's disease.Methods 96 cases of Alzheimer's disease patients admitted to the hospital from January to December 2021 and their 96 family caregivers were taken as the study subjects,they were divided into a control group and an observation group according to the principle of comparability of basic characteristics between the groups,each with 48 patients and 48 caregivers in each group.In the control group,conventional nursing interventions were implemented for family caregivers,and in the observation group,the NNN-linked nursing model was implemented for family caregivers.The Mini-Mental State Examination(MMSE),daily living ability scale scores and family caregiver SCL-90 scores in each dimension and Family Caregiver Consequences Inventory(FCTI)scores in each dimension were compared between the two groups.Results Before nursing intervention,the comparison of the scores of the dimensions of MMSE scale and the total scores of the two groups of patients was not statistically significant(P>0.05),after 6 months of nursing intervention,the scores of orientation,memory,calculation,concentration,recall,verbal ability and the total scores of MMSE scale of the patients of the observation group were higher than those of the control group,and the difference was statistically significant(P<0.05).Before nursing intervention,the comparison of daily living ability scores of patients in the two groups was not statistically significant(P>0.05),after 6 months of nursing intervention,the daily living ability scores of patients in the observation group were higher than those of the control group,and the difference was statistically significant(P<0.05).Before nursing intervention,the comparison of the scores of obsessive-compulsive,interpersonal sensitivity,anxiety,depression,somatization,hostility,terror,paranoia,and psychoticism in the SCL-90 scale in family caregivers of the two groups,the difference was not statistically significant(P>0.05),after 6 months of nursing intervention,the scores of all dimensions of the SCL-90 in the family caregivers of the observation group were lower than those of the control group,and there was a statistical significance in the difference(P<0.05).Before the nursing intervention,the comparison of the FCTI scores of family caregivers of the two groups in each dimension was not statistically significant(P>0.05),after 6 months of nursing intervention,the scores of family caregivers of the observation group in the FCTI scale of adapting to the role of caregiving,dealing with personal emotions,resilience in order to provide assistance,adapting to the life to meet the needs of caregiving,and evaluating the family and community resources were lower than those of the control group,and the difference was statistically significant(P<0.05).Conclusion NNN-linked care model could promote the physical and mental health of family caregivers of patients with Alzheimer's disease,improve caregiving ability,and thus improve patients'cognitive function and daily living ability.

NNN-linked nursing modelAlzheimer's diseaseFamily caregiversCognitive functionDaily living abilityPhysical and mental healthCaregiving ability

陈美华、赵翠平、李妍、杨海燕、金璐、马婷娜、李小娜

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南京医科大学附属常州第二人民医院老年医学科(江苏省常州市,213000)

NNN-链接护理模式 阿尔茨海默病 家庭照护者 认知功能 日常生活能力 身心健康 照护能力

南京医科大学智慧康养产业学院项目常州市第二人民医院护理科研项目

2023-952021HYB001

2024

护理实践与研究
河北省儿童医院

护理实践与研究

影响因子:1.354
ISSN:1672-9676
年,卷(期):2024.21(4)
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