多重感官刺激联合基于思维导图的沉浸式怀旧护理在老年阿尔茨海默病患者中的应用
Application of Multi-sensory Stimulation Combined with Mind-map-based Immersive Nostalgia Nursing in Elderly Patients with Alzheimer's Disease
敖慧1
作者信息
- 1. 荆州市第二人民医院老年科 湖北 荆州 434000
- 折叠
摘要
目的:研究多重感官刺激联合基于思维导图的沉浸式怀旧护理在老年阿尔茨海默病(AD)患者中的应用效果.方法:选取 2021 年 1 月—2022 年 12 月荆州市第二人民医院收治的 120 例老年AD患者进行研究.将其以电脑编号随机法分作A组(n=60)及B组(n=60).B组实施常规康复与工娱护理干预,A组则于B组的基础上增用多重感官刺激联合基于思维导图的沉浸式怀旧护理干预.对比两组精神症状、认知功能、情绪及生活质量.结果:干预6个月后,两组AD病理行为评分表(BEHAVE-AD)评分均低于干预前,且A组低于B组,差异均有统计学意义(P<0.05).干预 6 个月后,两组简易精神状态评价量表(MMSE)评分、蒙特利尔认知评估量表(MoCA)评分、自我情绪评定量表(SAM)各维度评分、世界卫生组织生存质量测定简表(WHOQOL-BREF)各项评分均高于干预前,且A组均高于B组,差异均有统计学意义(P<0.05).结论:多重感官刺激联合基于思维导图的沉浸式怀旧护理可有效改善老年AD患者精神症状、认知功能、情绪及生活质量.
Abstract
Objective:To study the effect of multi-sensory stimulation combined with mind-map-based immersive nostalgic nursing in elderly patients with Alzheimer's disease(AD).Method:A total of 120 elderly AD patients admitted to the Second People's Hospital of Jingzhou from January 2021 to December 2022 were selected for this study.They were divided into group A(n=60)and group B(n=60)by computer numbering method.Group B was treated with routine rehabilitation and occupation recreational nursing intervention,while group A was was added multi-sensory stimulation combined with mind-map-based immersive nostalgic nursing intervention on the basis of group B.Psychiatric symptoms,cognitive function,mood and quality of life between the two groups were compared.Result:After 6 months of intervention,the scores of AD behavioral pathology rating scale(BEHAVE-AD)in both groups were lower than those before intervention,and that in group A was lower than that in group B,the differences were statistically significant(P<0.05).After 6 months of intervention,simple mental state assessment scale(MMSE)scores,Montreal cognitive assessment scale(MoCA)scores,self-assessment manikin scale(SAM)scores and world health organization quality of life-brief(WHOQOL-BREF)scores in two groups were all higher than those before intervention,and those in group A were higher than those in group B,the differences were statistically significant(P<0.05).Conclusion:Multi-sensory stimulation combined with mind-map-based immersive nostalgic nursing can effectively improve mental symptoms,cognitive function,mood and quality of life in elderly patients with AD.
关键词
阿尔茨海默病/多重感官刺激/思维导图/沉浸式怀旧护理/应用效果Key words
Alzheimer's disease/Multi-sensory stimulation/Mind-map/Immersive nostalgia nursing/Application effect引用本文复制引用
出版年
2024