摘要
目的分析工娱疗法与护理干预对阿尔茨海默病患者睡眠障碍和激越行为的影响。方法选取2018年4月~2019年1月我院收治的69例阿尔茨海默病患者作为研究对象,将其随机分为实验组(35例)和对照组(34例)。实验组患者行以工娱疗法+护理干预,对照组患者行以常规护理。分析两组患者护理干预前后简易智力状态检查量表(MMSE)、激越行为量表(CMAI)、匹茨堡睡眠质量指数量表(PSQI)评分,并比较两组的安全事件发生情况。结果两组患者护理干预前的MMSE评分比较,差异无统计学意义(P>0.05);实验组患者护理干预8、16周后的MMSE评分均高于对照组,差异有统计学意义(P<0.05)。两组患者护理干预前的CMAI评分比较,差异无统计学意义(P>0.05);实验组患者护理干预8、16周后的CMAI评分均低于对照组,差异有统计学意义(P<0.05)。两组患者护理干预前的PSQI评分比较,差异无统计学意义(P>0.05);实验组患者护理干预8、16周后的PSQI评分均低于对照组,差异有统计学意义(P<0.05)。实验组患者护理干预后的安全事件总发生率为0.00%,低于对照组的11.76%,差异有统计学意义(P<0.05)。结论在阿尔茨海默病患者中应用工娱疗法与护理干预不仅可以改善睡眠质量,还可以避免发生激越行为发生,降低安全事件发生率,使患者生活质量提升,具有显著的临床价值。
Objective To analyze the effect of occupational recreational therapy and nursing intervention on sleep disorder and agitation behavior in patients with Alzheimer's disease.Methods From April 2018 to January 2019,69 patients with Alzheimer's disease were selected as the research subjects,and they were randomly divided into experimental group(35 cases)and control group(34 cases).The experimental group received occupational recreational therapy plus nursing intervention,and the control group received routine nursing.The scores of the mini-mental state examination(MMSE),Co-hen-Mansfield agitation inventory(CMAI),and Pittsburgh sleep quality index(PSQI)before and after nursing intervention were analyzed in the two groups,and the incidence of safety events was compared between the two groups.Results There was no significant difference in MMSE score between the two groups before nursing intervention(P>0.05).The MMSE scores of patients in the experimental group after 8 and 16 weeks of nursing intervention were higher than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in CMAI score between the two groups before nursing intervention(P>0.05).The CMAI scores of patients in the experimental group after 8 and 16 weeks of nursing intervention were lower than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in PSQI score between the two groups before nursing intervention(P>0.05).The PSQI scores of patients in the experimental group after 8 and 16 weeks of nursing intervention were lower than those in the control group,and the differences were statistically significant(P<0.05).The total incidence rate of safety events after nursing intervention in the experimental group was 0.00%,which was lower than the 11.76%in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of occupational recreational therapy and nursing intervention in patien
作者
李叶红
李金浓
余雪莹
邵丽川
冯银解
朱锦烨
阮春蕊
王飞燕
LI Ye-hong;LI Jin-nong;YU Xue-ying;SHAO Li-chuan;FENG Yin-jie;ZHU Jin-ye;RUAN Chun-rui;WANG Fei-yan(The First Department of Geriatrics,the Third People's Hospital of Jiangmen City,Guangdong Province,Jiangmen 529000,China)
出处
《中国当代医药》
2020年第1期206-209,共4页
China Modern Medicine
基金
广东省江门市科技局立项(2018E008)
关键词
工娱疗法
阿尔茨海默病
激越行为
睡眠障碍
Occupational therapy
Alzheimer's disease
Agitation behavior
Sleep disorder