社区护理干预对老年痴呆患者及照料者生活质量影响的研究

发布时间：2018-03-15 07:08

本文选题：老年痴呆　切入点：社区护理干预　出处：《中华全科医学》2016年01期 　论文类型：期刊论文

【摘要】：目的了解社区老年痴呆(AD)患者护理现状及照顾者的生活状况,探讨社区护理干预对老年痴呆患者及其照顾者生活质量的影响。方法选取社区老年痴呆患者60例,随机分为观察组与对照组,对照组实施常规指导和健康宣教,观察组除实施常规指导和健康宣教外,同时进行新社区护理干预,包过调配饮食、生活起居,心理干预、定期家访等。观查2组患者干预前及干预后2年智能状态和日常生活能力方面的变化及2组照料者干预前及干预后2年生活质量的改善情况。结果观察组患者智能状态在干预后2年较对照组和干预前有明显提高(t=2.59,P0.05;t=2.36,P0.05),而且日常生活能力在干预后2年较对照组和干预前也有明显提高(t=2.97,P0.01;t=2.13,P0.05);对照组患者在智能状态和日常生活能力方面在干预2年后无明显改变(P0.05)。采用新的护理干预方法后观察组照料者生活质量较对照组和干预前有明显改善(t=3.86,P0.01;t=5.90,P0.01),而对照组则无变化(P0.05)。结论采取合理和可行的社区护理干预,可以提高AD患者的生活质量,减轻照顾者的心理压力,减轻家庭负担,延缓疾病进程。
[Abstract]:Objective to investigate the nursing status of patients with Alzheimer's disease (AD) in community and the life status of caregivers, and to explore the effect of community nursing intervention on the quality of life of senile dementia patients and their caregivers. Methods 60 patients with dementia in community were selected. The observation group was randomly divided into two groups: the observation group and the control group. In the control group, routine guidance and health education were carried out. In addition to the routine guidance and health education, the observation group carried out nursing intervention in the new community at the same time, including diet, daily living and psychological intervention. To observe the changes of mental state and daily living ability before and after 2 years of intervention and the improvement of quality of life of the two groups of carers before and after intervention. Results the intelligence of the patients in the observation group was observed. Compared with the control group and before intervention, the energy state was significantly improved 2 years after intervention than that in the control group and before the intervention, and the ability of daily living was significantly improved 2 years after intervention than that in the control group and before the intervention, while in the control group, the intelligence state and the daily living ability of the patients in the control group were significantly improved than that in the control group and before the intervention. After 2 years of intervention, there was no significant change in the quality of life of the carers in the observation group after 2 years of intervention. The quality of life in the observation group was significantly improved than that in the control group and before the intervention. Conclusion reasonable and feasible community nursing intervention was adopted. It can improve the quality of life of AD patients, relieve the psychological pressure of caregivers, lighten the burden of families and delay the progress of disease.
【作者单位】：广州市海珠区新港街社区卫生服务中心;
【基金】：广州市卫生局科技项目(NO2014A010089) 广州市海珠区科技局科技项目(NO2011-D-26)
【分类号】：R473.2

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