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目的:探讨家庭认知功能训练对轻中度阿尔茨海默病患者的护理方法及实施效果。方法:采用2014年9月至2016年1月在荆州市精神卫生中心老年科住院的轻中度阿尔茨海默病患者80例,随机分为研究组(39例,精神科老年病房常规护理合并家庭认知功能训练)和对照组(41例,精神科老年病房常规护理),训练前后采用生活质量量表简表(WHOQOL-BREF)评定生活质量,采用韦氏成人智力量表(WAIS)及威斯康星卡分类测验(WCST)评价认知功能。结果:训练6月后,(1)研究组WHOQOL-BREF量表在心理领域、社会关系领域改善程度明显优于对照组(t=4.0885,3.7472;P<0.05);(2)研究组WAIS量表在言语智商维度改善程度明显优于对照组(t=2.3126,P<0.05);(3)研究组WCST量表在总测验数、正确百分数维度改善程度优于对照组(t=-2.1353,2.0571;P<0.05)。结论:家庭认知功能训练能明显改善阿尔茨海默病患者的生活质量和认知功能,值得临床推广。
Objective: To explore the nursing methods and effect of family cognitive training in patients with mild to moderate Alzheimer’s disease. Methods: From September 2014 to January 2016, 80 patients with mild to moderate Alzheimer’s disease who were hospitalized in the geriatric department of Jingzhou Mental Health Center were randomly divided into study group (39 cases, psychiatric geriatric ward general nursing merger Family cognitive function training) and control group (41 cases, psychiatric ward general nursing) before and after training, using quality of life scale (WHOQOL-BREF) to assess the quality of life, using the Wechsler Adult Intelligence Scale (WAIS) and Wisconsin Card Classification Test (WCST) to assess cognitive function. Results: After training for 6 months, (1) the WHOQOL-BREF scale in the study group was significantly better than the control group in the field of psychology and social relations (t = 4.0885, 3.7472; P <0.05); (2) (3) The WCST scale of the study group was better than the control group in the total number of tests and the correct percentage (t = -2.1353, t = 2.0571; P <0.05). Conclusion: Family cognitive training can significantly improve the quality of life and cognitive function in patients with Alzheimer’s disease, which is worthy of clinical promotion.