摘要
目的探讨强化护理干预对老年血管性痴呆的患者功能恢复的影响。方法将216例患者随机分为强化护理组（n=116）和一般护理组（n=100），一般护理组予常规护理，强化护理组在此基础上给予功能康复训练、心理障碍以及认知障碍的康复护理。比较护理干预前及干预4周后两组简易智力状态量表（MMSE）、长谷川痴呆量表（HDS）、临床痴呆量表（CDR）、韦氏记忆量表（WMS-RC）、Blessed痴呆量表（IMCT）、简式Fugl—Meyer运动功能评分法（FMA）、社会功能活动调查表（FAQ）和日常生活能力量表（ADL）的评分结果。结果4周末强化护理组患者MMSE评分（19．86±3．15），HDS评分（24．85±2．39），WMS-RC评分（62．24±8．71），IMCT评分（25．39±5．62）、FMA评分（68．71±14．18），ADL评分（67．39±14．29：），均高于一般护理组；CDR评分低于一般护理组，差异均有统计学意义（t=3．96，6．09，2．11，3．83，3．87，6．12，3．06，9．54；P〈0．01或P〈0．05）。强化护理组干预前后各项评分差异有统计学意义（P〈0．01），而一般护理组差异无统计学意义（P〉0．05）。结论综合康复训练能改善患者的认知功能和日常生活自理能力，延缓病情发展。
Objective To discuss the effect of intensive nursing intervention on elderly patients with vascular dementia. Methods 216 senile cases with vascular dementia were randomly divided into 2 groups： intensive nursing group （n = 116） and control group （n = 100）. Intensive group received 4-week rehabilitation training. The Mini-Mental State Examination （ MMSE）, the Hasegawa＇ s dementia Scale （ HDS）, the Clinical Dementia Rating Scale （CDR）, the Wechsler memory scale-revised in China for Adult （WMS-RC）, the Blessed Dementia Scale（ information-memory-concentration test, IMCT）, the Fugl-Meyer Assessment （FMA）, the Functional Activities Questionnaire （FAQ） and the Activity of Daily Living Scale （ADL） were applied at the beginning of the treatment and at the end of 4 weeks to evaluate the cognitive function and daily living ability. Results Scores of MMSE （19.86±3.15）, HDS （24.85 ±2.39）, WMS-RC （62.24±8.71）, IMCT （25.39± 5.62） ,FMA （68.71 ±14.18） and ADL （67.39 ± 14.29） of the patients in both groups at the end of 4 weeks showed significant difference （t =3.96, 6.09, 2.11, 3.83, 3.87, 6. 12, 3.06,9.54, respectively, P 〈0. 01 or P 〈 0. 05 ） ; CDR and FAQ of intensive nursing group was significantly reduced （ t = 2. 98,9. 49 ;P 〈 0. 01 ） while that of eontrol group was of no obvious differenee （ P 〉 0. 05 ） ; the score improvement of 8 kinds of figures before and after treatment in rehabilitation training group was much greater than that in control group （ P 〈 0. 05 ）. Conclusions Rehabilitation training can obviously improve the cognition and daily living ability of the senile patients with vascular dementia and it can also delay the dementia progress.
出处
《中华现代护理杂志》
2011年第27期3243-3246,共4页
Chinese Journal of Modern Nursing
关键词
老年人
血管性痴呆
强化护理
功能恢复
Elderly
Vascular dementia
Intensive nursing intervention
Functional recovery
