摘要
目的探讨早、中期老年性痴呆 (AD)病人遵医行为的干预方法和效果。方法将确诊为AD的 80例病人随机分为观察组与对照组各 4 0例。对照组不进行遵医行为干预 ;观察组实施 3R训练、体能训练、饮食调整、服药、生活习惯、社会活动等遵医行为的全程护理干预。结果 6个月后 ,观察组遵医率明显优于对照组 (P <0 .0 5 ,P <0 .0 1) ;生存质量综合评分显著高于干预前及对照组 (均P <0 .0 1)。结论全程护理干预能提高早、中期AD病人遵医行为 ,延缓病情的进展 。
Objective To study the methods and effects of the medical compliance behaviors in aged dementia (AD) at early and middle stages. Methods Eighty patients were investigated by using case-control study. Forty of them were recruited as the experimental group and executed nursing intervention about the medical compliance behaviors including 3R nursing, physical training, regulating diet, taking medicine, good habit of life and social activities. The remaining 40 patients as control group were not intervened. Results Statistical analysis showed the medical compliance behaviors and quality of life in the experimental group were significantly improved as compared with control group (P<0.05, P<0.01). Conclusion Nursing interventions are effective in improving the medical compliance behavior, retarding the progress of AD and promoting the quality of life.
基金
广东省人民医院科研基金资助项目 (Y 0 2 0 19)
广东省医学科研立项项目 (A2 0 0 30 0 4 )
关键词
阿尔茨海默病
遵医行为
护理干预
Alzheimer’s disease
medical compliance behavior
nursing intervention
