摘要
目的 探讨家庭支持综合护理模式在老年认知症患者中的应用效果。方法 选取2019年1—12月医院收治的98例老年认知症患者为研究对象,按照组间基础资料具有匹配性的原则分为对照组和观察组,每组49例。对照组采用常规护理,观察组在对照组基础上给予家庭支持综合护理模式。比较干预前(入院时)、干预后(干预12个月)两组的家庭支持程度、心理状态、康复效果、生活质量。结果 干预前,两组患者家庭支持情况自评量表、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、功能独立性评定量表(FIM)、改良巴氏指数评定表(MBI)、老年痴呆患者生活质量量表(DQOL)评分比较差异无统计学意义(P>0.05)。干预后,观察组家庭支持评分高于对照组,差异有统计学意义(P<0.05);观察组HAMA、HAMD评分低于对照组,差异有统计学意义(P<0.05);观察组FIM、MBI评分高于对照组,差异有统计学意义(P<0.05);观察组各项生活质量评分及总分均高于对照组,差异有统计学意义(P<0.05)。结论 为老年认知症患者提供家庭支持综合护理模式,能提高家庭支持程度,改善患者的心理状态及日常生活能力,提升生活质量。
Objective To explore the application effect of family support comprehensive nursing model in elderly patients with dementia was as the study subject.Methods A total of 98 patients with senile dementia who were admitted to the hospital from January to December 2019 were selected as the research objects.According to the principle of matching the basic data between the groups,they were divided into the control group and the observation group,with 49 cases in each group.The control group was given routine nursing care,and the observation group was given the comprehensive nursing mode of family support on the basis of the control group.The family support level,psychological state,rehabilitation effect,and quality of life were compared between the two groups before the intervention(at admission) and after the intervention(12months after the intervention).Results Before the intervention,there was no significant difference in the self-rating scale of family support,Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD),function independent measure(FIM),modified Barthel index(MBI) and elderly dementia quality of life(DQoL) scores between the two groups(P>0.05).After the intervention,the family support score in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05);the HAMA and HAMD scores in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05);the FIM and MBI scores in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05);the quality of life scores and total score in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Providing a comprehensive nursing model of family support for senile dementia patients can improve the degree of family support,improve the psychological state and daily living ability of patients,and improve the quality of life.
作者
钱珍
孙敏
凌霞敏
王帆
仇丽雯
于雅君
QIAN Zhen;SUN Min;LING Xiamin;WANG Fan;QIU Liwen;YU Yajun(The Fourth Rehabilitation Hospital of Shanghai,Shanghai,200040,China)
出处
《护理实践与研究》
2022年第8期1126-1132,共7页
Nursing Practice and Research
基金
2021年上海市静安区医学科研课题(编号:护理2021HL04)。
关键词
家庭支持综合护理
老年认知症
日常生活能力
家庭支持
心理状态
Family support comprehensive nursing
Senile dementia
Daily living ability
Family support
Psychological state
