摘要
目的探讨辨证施护联合记忆康复训练对老年痴呆患者自理能力、精神状态、记忆及生活质量等方面的影响。方法将106例老年痴呆患者随机分为观察组和对照组各53例。对照组实施常规护理干预,观察组实施中医辨证施护联合记忆康复训练干预,干预前及干预6个月采用日常生活自理能力量表(ADL)、简易智能精神状态量表(MMSE)、韦氏记忆量表(WMS)、匹兹堡睡眠质量指数(PSQI)、世界卫生组织生存质量测定量表(WHOQOL-100)、中国康复研究中心汉语标准失语症检查法(CRRCAE)评估患者。结果干预后观察组患者ADL、MMSE、WHOQOL-100、WMS、PSQI、CRRCAE评分显著优于对照组(P<0.05,P<0.01)。结论对老年痴呆患者实施辨证施护联合记忆康复训练,可提升患者生活自理能力及生活质量,改善改善睡眠质量及患者精神状态,增强患者记忆力,促进语言障碍恢复。
Objective To explore the clinical effects of syndrome-differentiated nursing care coupled with memory training on sell-care activity, mental state, memory and quality of life in the elderly with dementia. Methods A total of 106 elderly patients with demen- tia were randomly assigned into a control group and an observation group, with 53 in each group. The control group was give rou- tine nursing care, while the observation group received syndrome-differentiated nursing care developed based on the traditional Chi- nese medicine theory and additional memory training. The activities of daily living sca!e（ADL）, Mini-Mental State Examination （MMSE）, Weehsler Memory Scale（WMS）, Pittsburgh Sleep Quality Index（PSQI）, World Health Organization Quality of Life scale （WHOQOL-100）, and Chinese Rehabilitation Research Center for Chinese Standard Aphasia test（CRRCAE） were used to e- valuate the effects before and 6 months after the intervention. Results The scores of ADL, MMSE, WHOQOL-100, WMS, PSQI, CRRCAE were significantly higher in the observation group than the control group after the intervention （P〈0.05, P〈0.01）. Conclusion Syndrome-differentiated nursing care coupled with memory training are effective in improving self-care ability, quality of life, sleep quality, mental state, and memory, as well as in enhancing speech recovery in the elderly with dementia.
出处
《护理学杂志》
CSCD
2016年第21期17-20,共4页
Journal of Nursing Science
基金
江苏省卫生和计划生育委员会科研课题(320.71)
关键词
老年痴呆
辨证施护
记忆康复训练
自理能力
生活质量
记忆力
睡眠质量
中西医结合护理
dementia
syndrome-differentiated nursing care
memory training
self-care ability
quality of life
memory
sleep quality
traditional Chinese-western integrative care
