摘要
目的探讨怀旧疗法在老年阿尔茨海默症患者中的应用效果.方法选择2020年1月—2021年3月该院收治的92例老年阿尔茨海默症患者为研究对象,按随机数字表法将患者分为两组,各46例.对照组实施常规护理干预,观察组在对照组基础上加用怀旧疗法进行干预,持续干预8周.对比两组简易智能精神状态量表(MMSE)、世界卫生组织-加利福尼亚洛杉矶大学听觉词语学习测试量表(WHO-UCLAAVLT)、阿尔茨海默症生命质量测评表(QOL-AD)评分及护理满意度.结果观察组干预后MMSE中定向力、记忆力、注意与计算、回忆力及语言功能评分分别为(4.37±0.92)分、(0.93±0.11)分、(2.67±0.37)分、(1.25±0.26)分、(5.17±0.64)分,均低于对照组,组间差异有统计学意义(P<0.05);观察组干预后WHO-UCLA AVLT中即刻记忆、延迟回忆、长时延迟再认评分分别为(9.44±1.51)分、(2.26±0.35)分、(2.54±0.47)分,均高于对照组,组间差异有统计学意义(P<0.05);观察组干预后QOL-AD评分为(28.23±5.11)分,高于对照组,差异有统计学意义(P<0.05);观察组护理满意度为95.65%,高于对照组的82.61%,差异有统计学意义(P<0.05).结论怀旧疗法能够改善老年阿尔茨海默症患者的精神症状,促进记忆功能与生命质量提升,增强康复效果,患者护理满意度较高.
Objective To explore the application effect of nostalgia therapy in elderly patients with Alzheimer’s disease.Methods A total of 92 patients with Alzheimer’s disease admitted to the hospital from January 2020 to March 2021 were selected as research objects and divided into two groups according to random number table method,with 46 patients in each group.The control group carried out routine nursing intervention,and the observation group added nostalgia therapy intervention on the basis of the control group,with lasting intervention for 8 weeks.The scores of mini mental state examination(MMSE),WHO-University of California Los Angeles-auditory verbal learning test(WHO-UCLA AVLT),quality of life assessment in Alzheimer’s disease(QOL-AD)and nursing satisfaction were compared between the two groups.Results After intervention,the scores of orientation,memory,attention and calculation,recall and language function in MMSE in the observation group were(4.37±0.92)points,(0.93±0.11)points,(2.67±0.37)points,(1.25±0.26)points,(5.17±0.64)points,respectively,lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).The scores of immediate memory,delayed recall and long-term delayed recognition in WHO-UCLA AVLT in the observation group were(9.44±1.51)points,(2.26±0.35)points and(2.54±0.47)points,respectively,higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).The QOL-AD score of the observation group after intervention was(28.23±5.11)points,which was higher than that of the control group,and the difference was statistically significant(P<0.05).Nursing satisfaction in the observation group was 95.65%,higher than 82.61%in the control group,and the difference was statistically significant(P<0.05).Conclusion Nostalgia therapy can improve the mental symptoms of elderly patients with Alzheimer’s disease,promote the improvement of memory function and quality of life,enhance the rehabilitation effec
作者
沈昊
宋学花
王嘉庆
SHEN Hao;SONG Xuehua;WANG Jiaqing(Department of Neurology,Daqing Oilfield General Hospital,Daqing Heilongjiang,163001,China)
出处
《反射疗法与康复医学》
2022年第7期87-90,99,共5页
Reflexology And Rehabilitation Medicine
关键词
老年阿尔茨海默症
怀旧疗法
精神症状
康复效果
记忆功能
生命质量
Senile Alzheimer’s disease
Nostalgia therapy
Mental symptoms
Rehabilitation effect
Memory function
Quality of life
