摘要
目的 通过微信平台对出院后轻度阿尔茨海默病患者进行认知功能训练,以延缓疾病进展,改善认知功能,提高生活自理能力,最终提升患者生活质量.方法 建立微信群,将90例轻度阿尔茨海默病患者分别纳入观察组和对照组,对照组定期在群发布健康宣教知识,观察组在对照组基础上对患者及家属每日训练任务进行阶段性的安排,患者在家属的协助下完成练习,并反馈练习视频或照片,护士给予指导和阶段性鼓励措施,并比较两组依从性、日常生活能力量表（ADL）、患者认知功能量表（MMSE）、蒙特利尔认知评估量表（MoCA）、WHO生存质量测定量表简表（WHOQOL-BREF）评分.结果 训练实施后,观察组患者的认知水平稍有提高,生活自理能力和生活质量得到显著提高,差异有统计学意义（P〈0.05）;而对照组患者认知水平、生活自理能力和生活质量较训练前持平或稍有下降.结论 基于微信平台的认知训练模式可以延缓轻度阿尔茨海默病患者认知功能的衰退,提高患者生活自理能力,提升患者生活质量.
Objective To explore the effects of WeChat platform in improving cognitive function training in patients with mild Alzheimer＇s disease （AD） after discharge from the hospital, and to slow down the disease progression, and to improve their self-care ability and the quality of life.Methods The WeChat group was established, ninety patients with mild AD were divided into the experimental group and the control group. The control group regularly issued health education knowledge in the WeChat. On the basis of control group, the experimental group published daily training plans through WeChat, They tried to complete the practice with their families＇ help and give feedbacks for those training videos or photos. The nurses were responsible for giving guidance and periodic support. The compliance, activities of daily living （ADL）, mini-mental state examination （MMSE）, Montreal cognitive assessment scale （MoCA）, and the world health organization quality of life measurement scale short form （WHOQOL-BREF） were compared before and after the intervention. Results In the experimental group, the cognitive level was slightly improved, and the self-care ability and the quality of life were significantly improved after the training intervention compared with the scores before the intervention （P〈0.05）. However, the cognitive level, the self-care ability, and the quality of life in the control group sustained or slightly reduced after the intervention.Conclusions The cognitive function training based on WeChat platform can delay the disease development and can improve the self-care ability and the quality of life in patients with mild AD after discharge from the hospital.
出处
《中华现代护理杂志》
2017年第32期4099-4102,共4页
Chinese Journal of Modern Nursing
基金
2016年度首都护理学研究专项面上课题（16HL11）
关键词
阿尔茨海默病
生活质量
认知训练
微信
Alzheimer＇s disease
Quality of life
Cognitive training
WeChat
