聚焦解决模式在阿尔茨海默病合并脑血栓患者的应用效果

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Abstract Objective To explore the application effect of focused resolution model in patients with alzheimer's disease complicated with cerebral thrombosis. Methods Clinical data of 200 patients with Alzheimer's disease complicated with cerebral thrombosis admitted to Dalian Central Hospital from January 2015 to January 2018 were analyzed. According to different interventions, they were divided into control group (100 cases and routine rehabilitation nursing) focusing on solving model group (focusing on solving mode) 100 cases. Before and after the intervention, the National Institutes of health stroke scale (NIHSS) score, family function score function and motor function, cognitive function, language score, and clinical efficacy of two goups were observed. Results There was no significant difference in NIHSS score, family function score, cognitive function, language function and motor function score between the two groups before intervention (P ＞ 0.05). After intervention, the NIHSS scores of two groups were higher than before the intervention, family function score was lower than before intervention, the cognitive function, the language function and motor function scores were higher than before the intervention; NIHSS scores of the focused solution model group was higher than that of the control group, and the family function score was lower than that of the control group, cognitive function, language function and motor function scoreswere higher than those of the control group, and the difference was statistically significant (P ＜ 0.05).The total clinical response rate of patients of the focused resolution model group was higher than that in the control group, and the difference was statistically significant (P ＜ 0.05). Conclusion The application of focused resolution model in patients with alzheimer's disease complicated with cerebral thrombosis can reduce neurological damage and improve cognitive and motor functions, which is worthy of clinical application.

Key words： Solution focused approach Alzheimer's disease Cerebral thrombosis National Institutes of health stroke scale Family function score Cognitive function Language function Motor function

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	YIN Hongxia1 ZHANG Wei1 WANG Yingli2

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YIN Hongxia1 ZHANG Wei1 WANG Yingli2. Application effect of focused resolution model in patients with Alzheimer′s disease complicated with cerebral thrombosis[J]. 中国医药导报, 2019, 16(17): 144-147.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2019/V16/I17/144

[1] 田玲，池迎春，侯志明.聚焦解决模式在阿尔茨海默病合并脑血栓患者中的效果[J].血栓与止血学，2018，24（3）：528-529，531.
[2] Stiekema AP，Quee PJ，Dethmers M，et al. Effectiveness and cost-effectiveness of cognitive adaptation training as a nursing intervention in long-term residential patients with severe mental illness：study protocol for a randomized controlled trial [J]. Trials，2015，16（1）：47-49.
[3] 屈彦，牟春英，曹娜，等.综合护理干预对阿尔茨海默症患者负面情绪、护理不良事件及满意度的影响[J].国际精神病学杂志，2018，45（3）：541-543.
[4] Weiner MW，Veitch DP，Aisen PS，et al. The Alzheimer′s Disease Neuroimaging Initiative：a review of papers published since its inception [J]. Alzheimers & Dementia，2012， 8（1）：S1-S68.
[5] 徐娜，金奕，刘莹，等.医院－社区－家庭延续护理对阿尔茨海默病病人生活质量的影响[J].护理研究，2016，30（7）：2615-2618.
[6] Suh M，Choi-kwon S，Kim JS. Sleep disturbances after cerebral infarction：role of depression and fatigue [J]. J Stroke Cerebrovasc，2014，23（7）：1949-1955.
[7] 关晓旭，佡剑非.一体化护理模式对阿尔茨海默病患者生活质量及日常生活能力的影响[J].中国医药导报，2016，13（20）：153-166.
[8] Rodrigues L，Mathias T. Effectiveness of planned teaching program on knowledge regarding Alzheimer′s disease among the family members of elderly in a selected urban community at Mangalore [J]. Indian J Psychiatry，2016，58（1）：44-48.
[9] 宋金辉.重复经颅磁刺激对阿尔茨海默病患者认知功能影响的研究进展[J].中国现代医生，2016，54（5）：158-161.
[10] Howard R，McShane R，Lindesay J，et al. Nursing home placement in the Donepezil and Memantine in Moderate to Severe Alzheimer′s Disease（DOMINO -AD）trial：secondary and post-hoc analyses [J]. Lancet Neurol，2015， 14（12）：1171-1181.
[11] 李欢利，胡佩，任慧，等.阿尔茨海默病患者整体护理研究进展[J].护士进修杂志，2016，31（6）：510-512
[12] 全国第四届脑血管病学术会议.脑卒中患者临床神经功能缺损评分标准[J].中华神经科杂志，1996，29（6）：381-384.
[13] 陈清棠.脑卒中患者临床神经功能缺损程度评分标准（1995）[J].中华神经科杂志，1996，29（6）：381-383.
[14] 李荣风，徐夫真，纪林芹，等.家庭功能评定量表的初步修订[J].中国健康心理学杂志，2013，21（7）：996-1000.
[15] 王新德.实用临床神经病学[M].北京：科学技术文献出版社，2007：619-620，630.
[16] 全国脑血管病会议.各类脑血管疾病诊断要点[J].中华神经科杂志，1996，29（6）：379-381.
[17] 张晶晶，翟清华，王永瑞，等.利用微信对阿尔茨海默病患者提供出院后延续护理的体会[J].中国实用神经疾病杂志，2018，21（5）：554-556.
[18] 张婷婷，米雪，于宏丽.基于时机理论的延续护理对阿尔茨海默病病人照顾者心理负担及生活质量的影响[J].护理研究，2017，31（33）：4238-4242.
[19] 朱榕，张莉.社区护理干预对阿尔茨海默症患者生存质量影响的Meta分析[J].中国临床护理，2017，9（5）：369-373.
[20] 王萍，姜爱玉，侯瑞.综合认知干预对阿尔茨海默病患者照料者心理状况及生活质量的影响[J].现代实用医学，2016，28（8）：1030-1032.
[21] Roberts G，Morley C，Walters W，et al. Caring for people with dementia in residential aged care ：Successes with a composite person-centered care model featuring Montessori-based activities [J]. Geriatr Nurs，2014，36（2）：100-106.
[22] Melah KE，Lu SY，Hoscheidt SM，et al. Cerebrospinal Fluid Markers of Alzheimer′s Disease Pathology and Microglial Activation are Associated with Altered White Matter Microstructure in Asymptomatic Adults at Risk for Alzheimer′s Disease [J]. J Alzheimers Dis，2016，50（3）：873-886.