特殊环境对轻中度阿尔茨海默病患者日常生活活动能力、认知功能、抑郁状态的影响

发布时间：2018-06-12 13:16

本文选题：特殊环境 + 阿尔茨海默病　；参考：《中国康复医学杂志》2017年05期

【摘要】：目的:探讨特殊丰富环境训练对护理医院轻中度阿尔茨海默病患者ADL能力、认知功能、抑郁状态的影响。方法:选取我院符合入组条件的82例65—90岁住院老人,随机分为特殊丰富环境训练组和传统丰富环境训练组,每组42例,传统丰富环境训练组每天1次,每次1h,每周5次,特殊丰富环境训练组在传统丰富环境训练的基础上,增加训练内容的趣味性、变换不同的训练环境,每天1次,每次1h,每周5次,对治疗前、治疗1个月后、治疗3个月后、6个月后的随访进行评估。结果:在治疗3个月后,特殊丰富环境训练组MMSE评分、Barthel指数、老年人抑郁量表评分较治疗前及同期传统丰富环境训练组均有所改善(P0.05)。结论:特殊丰富环境训练可以有效地改善轻中度阿尔茨海默病患者日常生活活动能力、认知功能、抑郁状态。
[Abstract]:Objective: to explore the effect of special rich environment training on ADL ability, cognitive function and depression in patients with mild and moderate Alzheimer's disease in nursing hospital. Methods: 82 inpatients aged 65 to 90 were randomly divided into two groups: the special rich environment training group and the traditional rich environment training group with 42 cases in each group. The traditional rich environment training group was trained once a day for 1 hour, 5 times a week. On the basis of the traditional rich environment training, the special enriched environment training group increased the interest of the training contents, changed different training environments, once a day, 1 hour each time, 5 times a week, before and after 1 month of treatment. After 3 months of treatment, 6 months of follow-up were evaluated. Results: after 3 months of treatment, the MMSE scores and Barthel index and depression scale scores of the elderly in the special enriched environment training group were improved compared with those of the traditional rich environment training group before and during the same period of treatment (P 0.05). Conclusion: the special rich environment training can effectively improve the activities of daily life, cognitive function and depression in patients with mild and moderate Alzheimer's disease.
【作者单位】：上海市金山区众仁老年护理医院;复旦大学附属华山医院;
【基金】：上海市金山区卫生和计划生育委员会科研课题(JSKJ-KIQN2014-12)
【分类号】：R473.74

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