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公寓照护与住院照护对AD患者生活质量的影响及效果观察

Influence of apartment nursing and hospital nursing on quality of life of patients with Alzheimer's disease as well as their effects
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摘要 目的:探讨公寓照护与精神科住院照护方式对阿尔兹海默病(Alzheimer's disease,AD)患者生活质量的影响及效果观察。方法:随机选择在医院疗养的AD患者96例,根据患者意愿选择不同照护方式,分为传统住院组和新式公寓组,每组各48例。采用日常生活能力量表(ADL)、简易智能状态量表(MMSE)、AD评估量表认知分量表(ADAS-cog)、总体衰退量表(GDS)、神经精神科问卷(NPI)等评分量表作为主要评价指标,比较两组患者在干预前和干预一年后的精神状况、认知能力及日常生活能力的改善等情况。结果:进行不同疗养方式的护理干预后,新式公寓组患者的ADL、MMSE、ADAS-cog、GDS、NPI的评分明显优于传统住院组,差异有统计学意义(P<0.05)。结论:新式公寓照护方式有效提高了AD患者的生活质量,是AD患者良好的选择。 Objective: To explore influence of apartment nursing and psychiatric nursing on quality of life of patients with Alzheimer's disease( AD) and observe their effects. Methods: A total of 96 patients with AD were selected,and divided into traditional nursing home group and new-style apartment nursing group,each with 48 cases. The activity of daily living scale( ADL),mini mental state examination( MMSE),Alzheimer ' s disease assessment scale-cognitive portion( ADAS-cog),global deterioration scale( GDS),and neuropsychiatric inventory questionnaire( NPI) were used as the main evaluation indexes to compare the two groups with the improvement of mental state,cognitive ability and the daily life ability before and after one-year intervention. Results: After the different nursing intervention,the ADL,MMSE,ADAS-cog,GDS and NPI scores of the new-style apartment group were significantly better than the traditional group,and the differences were statistically significant( P〈0.05). Conclusions: The new-style apartment nursing can effectively improve the quality of life in the patients with AD. It is a good choice for the patients with AD in the future,and worth being supportedvigorously by the government and the society.
出处 《中国民康医学》 2017年第9期52-55,共4页 Medical Journal of Chinese People’s Health
关键词 AD 新式公寓照护 病程 生活质量 Alzheimer's disease New-style apartment nursing Course of disease Quality of life
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