摘要
目的探讨延伸护理对老年痴呆患者出院后生活质量的影响。方法选择老年神经内科病区符合条件的90例老年痴呆出院患者作为研究对象,随机分为试验组和对照组各45例,试验组出院后实施延伸护理1年,包括电话随访和定期上门服务,提供生活护理、服药护理、心理护理、安全护理和康复锻炼等服务。对照组进行常规的出院健康教育。采用Barthel指数量表、APGAR家庭功能评估表、老年痴呆生活质量评定量表(QOLAD)分别评定延伸护理前、后日常生活活动能力、家庭功能、生活质量并进行比较,并对2组患者1年后遵医行为进行比较。结果试验组接受1年的延伸护理服务后日常生活能力、家庭功能、生活质量的评分均显著高于对照组。2组患者出院1年后,遵医嘱服药依从性无显著差异,但试验组定期复诊、康复锻炼依从性明显高于对照组。结论延伸护理可改善患者遵医行为,提高老年痴呆患者生活质量。
Objective To investigate the effects of extended care on the quality of life of the discharged elderly pa- tients with Alzheimer＇s disease. Methods Ninety patients were randomly divided into the experimental group and the control group with 45 patients in each. The experimental group received extended care for 1 year, including regular tele- phone and visit follow-up, supporting llfe care, medical care, psychological care, safe care and rehabilitation exercises.The control group underwent routine health education before discharge. The ability of daily living, family function, quality of life and compliant behavior were compared after one year between the two groups. Results After one year of extended care, the scores of ability of daily life, family function and quality of life in the experimental group were significantly higher than those in the control group. The compliance of prescribed medication showed no significant differences between the two groups.The compliance of regular return visit and rehabilitation exercise in the experimental group was higher than that in the control group. Conclusions Extended care can improve patients＇ compliant behavior and significantly improve the quality of life in the elderly patients with Alzheimer＇s disease.
出处
《实用老年医学》
CAS
2014年第3期254-256,259,共4页
Practical Geriatrics
关键词
延伸护理
阿尔茨海默病
生活质量
extended care
Alzheimer＇s disease
quality of life
