| 张立婷,韩正风,黄思莹,张媛,周晓辉.自立支援老年照护新模式对老年痴呆患者认知、生活能力的影响[J].中国临床保健杂志,2023,26(6):810-813. |
| 自立支援老年照护新模式对老年痴呆患者认知、生活能力的影响 |
| Influence of elderly care new model of self-reliance support on cognition and living ability of elderly patients with dementia |
| 投稿时间：2022-06-28 |
| DOI：10.3969/J.issn.1672-6790.2023.06.021 |
| 中文关键词: 痴呆 病人医疗护理 日常生活活动 认知功能障碍 老年人 |
| 英文关键词: Dementia Patient care Activities of daily living Cognitive dysfunction Aged 〖FL |
| 基金项目: |
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| 中文摘要: |
| 目的 观察自立支援老年照护新模式对老年痴呆患者认知、生活能力的影响。方法 纳入2017年9月至2020年9月新疆医科大学第一附属医院收治的126例老年痴呆患者,依照完全随机化分组法将其分为对照组和观察组各63例。对照组实施老年痴呆患者常规照护,观察组则在对照组基础上进行自立支援老年照护新模式。对比干预前及干预3、6、12个月后2组患者痴呆程度[临床痴呆评定量表(CDR)]、功能独立性[功能独立性评定量表(FIM)]、生活能力[老年痴呆生活能力量表(QOL-AD)]、认知衰退程度[总体衰退量表(GDS)]。结果 干预期间,对照组患者CDR、GDS评分呈升高趋势(P<0.05),FIM、QOL-AD评分呈下降趋势(P<0.05)。干预3个月后,2组患者CDR、FIM、GDS评分差异无统计学意义(P>0.05),观察组患者QOL-AD评分高于对照组(P<0.05)。干预6、12个月后,观察组患者FIM、QOL-AD评分高于对照组(P<0.05),观察组患者CDR、GDS评分低于对照组(P<0.05)。结论 自立支援老年照护新模式能减缓老年痴呆患者认知、生活能力及智力方面的衰退表现。 |
| 英文摘要: |
| Objective To observe the influence of elderly care new model of self-reliance support on the cognition and living ability of elderly patients with dementia.Methods One hundred and twenty six cases in the First Affiliated Hospital of Xinjiang Medical University between September 2017 and September 2020 were divided into control group and experimental group according to the completely randomized grouping method,with 63 cases in each group.The control group carried out routine nursing for elderly patients with dementia,while the experimental group underwent elderly care new model of self-reliance support on this basis.The dementia degree[Clinical Dementia Rating Scale (CDR)],functional independence[Functional Independence Measure (FIM)],living ability[Quality of Life-Alzheimer′s Disease (QOL-AD)]and degree of cognitive decline[General Decline Scale (GDS)]were compared between the two groups of patients before intervention and after 3 months,6 months and 12 months of intervention.Results During intervention,the scores of CDR and GDS in control group increased (P<0.05) while the scores of FIM and QOL-AD decreased (P<0.05).After 3 months of intervention,there were no statistical differences in the scores of CDR,FIM and GDS between the two groups (P>0.05),and the QOL-AD score in experimental group was higher than that in control group (P<0.05).After 6 and 12 months of intervention,the scores of FIM and QOL-AD in experimental group were higher than those in control group (P<0.05) while the scores of CDR and GDS were lower than those in control group (P<0.05).Conclusions Elderly care new model of self-reliance support can alleviate the declines in cognition,living ability and intelligence of elderly patients with dementia. |
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