摘要
目的探讨以目标为基础的针对性护理干预在老年痴呆患者中的应用效果。方法收集2020年1月—2023年1月泉州东南医院收治的老年痴呆患者124例,采用随机数字表法分为对照组与观察组各62例。对照组接受常规护理;观察组接受以目标为基础的针对性护理干预。比较两组患者干预前、干预3个月后的简易智力状况评定量表(mini-mental state examination,MMSE)、改良Barthel指数(modified Barthel index,MBI)和阿尔茨海默病生命质量测评量表(qualityoflife-Alzheimer’sDisease,QOL-AD)评分,并比较两组患者不良事件发生率及护理满意度。结果两组干预后MMSE评分、MBI评分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。两组干预后人际环境、心理状态、生理功能、行为能力评分高于干预前,且观察组上述指标评分高于对照组,差异有统计学意义(P<0.05)。观察组不良事件发生率为6.45%,低于对照组的19.35%,差异有统计学意义(P<0.05)。观察组总满意率为96.77%,高于对照组的85.48%,差异有统计学意义(P<0.05)。结论以目标为基础的针对性护理干预用于老年痴呆患者的护理,可进一步改善其认知功能、日常生活能力及生活质量,减少不良事件发生,并提高护理满意度,值得推广应用。
Objective To explore the effect of goal based targeted nursing intervention in senile dementia patients.Methods From January 2020 to January 2023,124 patients with senile dementia in Southeast Hospital of Quanzhou were collected and divided into control group and observation group with 62 cases in each group,according to random number table method.The scores of the mini mental state examination(MMSE),modified Barthel index(MBI),and quality of life-Alzheimer’s Disease(QOL-AD)before and 3 months after intervention between two groups of patients were compared.And the incidence of adverse events and nursing satisfaction of the two groups of patients were compared too.Results After intervention,the MMSE score and MBI score of the two groups were higher than those before intervention,and the score of observation group was higher than those of control group,with statistically significant differences(P<0.05).After intervention,the scores of interpersonal environment,psychological state,physiological function,and behavioral ability in the two groups were higher than those before intervention,and the scores of observation group were higher than those of control group,with statistically significant differences(P<0.05).The incidence of adverse events in the observation group was 6.45%,which was lower than the control group’s 19.35%,with a statistically significant difference(P<0.05).The total satisfaction rate of the observation group was 96.77%,which was higher than the control group’s 85.48%,with a statistically significant difference(P<0.05).Conclusion Targeted nursing interventions based on goals for elderly dementia patients can further improve their cognitive function,daily living ability,and quality of life,reduce the occurrence of adverse events,and improve nursing satisfaction,which is worthy of promotion and application.
作者
陈吉端
黄秋婷
陈莉莉
CHEN Jiduan;HUANG Qiuting;CHEN Lili(Department of Internal Medicine,Southeast Hospital of Quanzhou,Quanzhou 362000,Fujian Province,China)
出处
《中国实用乡村医生杂志》
2023年第8期62-66,共5页
Chinese Practical Journal of Rural Doctor
关键词
老年痴呆
目标
针对性护理
认知功能
生活质量
生活能力
Senile Dementia
Goals
Targeted Nursing
Cognitive Function
Quality of Life
Ability of Daily Living
