摘要
目的观察系统的手指操锻炼对改善轻度老年痴呆患者日常生活能力的效果,为实施系统的康复训练提供理论依据。方法选择2009年10月—2010年10月入住上海交通大学附属第六人民医院老年科的轻度老年痴呆患者60例,随机分为干预组和对照组各30例,给对照组提供手指功能活动的用具,让患者根据自己的兴趣进行手指的自由活动;干预组由专业医务人员进行手指操训练,每天定时练习,坚持6个月。采用日常生活能力量表(ADL)进行评分。结果对照组训练前后躯体自理能力和使用日常工具的基本能力无明显变化,干预组训练6个月后躯体自理能力和使用日常工具的基本能力明显改善,与对照组比较差异有统计学意义(P<0.05)。结论轻度认知障碍患者的各种能力随时间推移逐渐下降,日常手指操的练习能有效改善其日常生活中的自理能力,提高其独立生活的勇气和生活质量。
Objective To observe the effects of finger exercises on improving the activities of daily living in patients with mild dementia, and provide a theoretical basis for implementation of systematic rehabilitation training. Methods A total of 60 elderly patients with mild Alzheimer＇s disease were randomly and equally divided into the intervention group and control group from October 2009 to October 2010. The control group was implemented with tools of finger exercises without professional guides. The patients moved their fingers at will. The intervention group was guided by medical professionals for 6 months. The activities of daily living scale （ADL） was used to evaluate the training effect. Results The self-care ability and basic skills of using tools in the control group had no significant differences （ P 〉 0.05 ） , while those in the intervention group improved significantly after 6-month training （P 〈 0.05 ）. Conclusion The activities of daily living in elderly patients with mild dementia declines gradually with time going on. The daily finger exercises can effectively improve their self-care ability and basic skills of using tools, and improve their life quality.
出处
《上海护理》
2012年第4期14-16,共3页
Shanghai Nursing
基金
上海交通大学附属第六人民医院院级课题(2009-1221)
关键词
轻度老年痴呆患者
日常生活能力
手指操
Elderly patient with mild dementia
Activities of daily living
Finger exercise
