摘要
目的探讨多感官刺激疗法对阿尔茨海默病(AD)患者激越行为的影响。方法选取2021年6月至2022年1月在首都医科大学宣武医院神经内科住院的45例AD患者作为研究对象,按照随机数字表法将其分为对照组23例和试验组22例。对照组采用常规护理方法,试验组在对照组基础上加用视觉+听觉+触觉多感官刺激方法。比较2组治疗前后科恩曼菲斯尔德激越行为评估表(CMAI)以及阿尔茨海默病病理行为评分表(BEHAVE-AD)评分变化情况。结果干预后试验组和对照组CMAI评分分别为(33.14±3.72)、(37.13±7.23)分,2组比较差异有统计学意义(t=-2.34,P<0.05)。在CMAI各分项比较中,试验组"躯体非攻击行为"和"语言非攻击行为"评分分别为(11.09±2.91)、(5.73±2.16)分,对照组分别为(13.57±4.33)、(8.22±2.71)分,2组比较差异有统计学意义(t=-2.26、-3.39,均P<0.05)。BEHAVE-AD比较显示,试验组干预前后总分分别为(13.14±9.54)、(9.50±4.81)分,对照组分别为(11.04±8.34)、(10.70±9.81)分,试验组BEHAVE-AD总分组内干预前后比较差异有统计学意义(t=2.21,P<0.05),但与对照组比较则差异无统计学意义(t=-0.73,P>0.05)。BEHAVE-AD各分项比较中,试验组干预后"行为紊乱"改善明显,评分为(2.41±1.26)分,与对照组(4.48±2.87)分比较,差异有统计学意义(t=-3.10,P<0.05)。结论与常规护理相比,视觉+听觉+触觉多感官刺激方法可以改善AD患者的激越行为,尤其是非攻击性激越行为,具有一定的临床意义,可为未来相关研究提供参考依据。
Objective To investigate the effect of multi-sensory stimulation therapy on agitation behavior in patients with Alzheimer's disease(AD).Methods A total of 45 patients with AD hospitalized in the Department of Neurology of Xuanwu Hospital,Capital Medical University,from June 2021 to January 2022 were selected,including 23 cases in the control group and 22 cases in the experimental group.The control group was treated with routine nursing methods,and the experimental group was treated with multi-sensory stimulation.The scores of Cohen-Mansfield Agitation Inventory(CMAI)and Behavioral Pathology in Alzheimer′s Disease Rating Scale(BEHAVE-AD)were compared between the two groups before and after treatment.Results CMAI comparison showed that after the intervention,the CMAI scores of the experimental group and the control group was 33.14±3.72 and 37.13±7.23 respectively.The difference was statistically significant(t=-2.34,P<0.05).The total score of"physical non aggressive behavior"and"language non aggressive behavior"in the experimental group were(11.09±2.91),(5.73±2.16),which were lower than those in the control group(13.57±4.33),(8.22±2.71).The differences were statistically significant(t=-2.26,-3.39,P<0.05).The BEHAVE-AD scores of the experimental group before and after the intervention were(13.14±9.54),(9.50±4.81),in the control group were(11.04±8.34),(10.70±9.81).There was significant difference in BEHAVE-AD score before and after the intervention in the experimental group(t=2.21,P<0.05),but there was no significant difference compared with the control group(t=-0.73,P>0.05)."Behavior disorder"of the experimental group improved significantly after the intervention,and the score was(2.41±1.26)compared with the control group(4.48±2.87),the difference was statistically significant(t=-3.10,P<0.05).Conclusions Compared with routine nursing,visual+auditory+tactile multi-sensory stimulation can improve the agitation behavior of AD patients,especially non aggressive agitation behavior,which has certain clinical
作者
李翠景
常红
Li Cuijing;Chang Hong(School of Nursing,Capital Medical University,Beijing 100069,China;Department of Neurology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)
出处
《中国实用护理杂志》
2022年第33期2618-2624,共7页
Chinese Journal of Practical Nursing
