摘要
目的探究老年痴呆患者中应用怀旧疗法进行护理的效果,旨在为临床护理提供可靠依据。方法选取2013-02—2015-06在北京军区天津疗养院医疗住院部142例老年痴呆患者作为实验对象,采取随机数字表法将所有患者分为实验组(71例)与对照组(71例),对照组患者予以常规护理干预,实验组患者在对照组护理基础上联合怀旧疗法进行护理干预,观察对比两组患者护理前后简易精神状态监测量表评分(MMSE)状况,采取日常生活能力量表(ADL)评定患者护理前后日常生活能力。结果护理前两组患者MMSE、ADL评分对比差异均无统计学意义(P均>0.05);护理后实验组患者MMSE评分为(25.89±2.45)分,ADL评分为(16.46±1.09)分,对照组MMSE评分为(22.13±2.01)分,ADL评分为(20.35±2.21)分,两组患者护理后MMSE、ADL对比,实验组均明显优于对照组,P均<0.05,差异具有统计学意义。结论老年痴呆患者自理能力差,护理难度大,常规护理基础上联合怀旧疗法可明显提升护理效果,改善患者生活状况,提升患者自理能力,可作为老年痴呆患者院外长期护理方案。
Objective To probe into the effects of nostalgia therapy in nursing sufferers with senile dementia, so as to provide reliable basis for clinical nursing.Methods 142 sufferers with senile dementia at medical treatment inpatient department in Tianjin Sanatorium of Beijing Military Region from February 2013 to June 2015 were selected as experimental subjects, and were divided into experimental group and control group with 71 cases in each group by random number table method.The control group were given conventional nursing intervention, while the experimental group were given additional nostalgia therapy as well as conventional nursing intervention, then mini-mental state examination （MMSE） of both groups before and after the nursing intervention was observed and compared, and activity of daily liv- ing（ADL） scale was adopted to assess activity of daily living of the sufferers before and after the nursing intervention. Results Before the nursing intervention, the differences of MMSE and ADL scores in both groups had no statistical significance （P 〉 0.05） ; After the nursing intervention, the experimental group had MMSE （25.89 ± 2.45） and ADL （16.46 ± 1.09）,while the control group had MMSE （22.13 ± 2.01） and ADL （20.35 ±2.21）,which showed that the experimental group was superior to the control group, with differences of statistical significance（P〈 0.05）.Conclusion Sufferers with senile dementia have poor self-care ability, and nursing for them is difficult, so nostalgia therapy together with conventional nursing can clearly increase nursing effects, improve the living conditions, promote the self-care abili- ty, which can be an out-of-hospital long-term nursing plan for sufferers with senile dementia.
出处
《中国疗养医学》
2016年第2期124-126,共3页
Chinese Journal of Convalescent Medicine
关键词
老年痴呆
怀旧疗法
精神状态监测量表
日常生活能力量表
Senile dementia
Nostalgia therapy
Mini-mental state examination（MMSE）
Activity of daily living（ADL）
