|
|
The effect of quality nursing on cognitive dysfunction and life ability of alzheimer′s patients |
MA Yan1 LIN Wei1▲ ZHANG Minghui2 WANG Pengjun2 |
1.Outpatient Department, the Fourth Affiliated Hospital of Harbin Medical University, Heilongjiang Province, Harbin 150001, China;
2. the Second Department of Neurology, the Fourth Affiliated Hospital of Harbin Medical University, Heilongjiang Province, Harbin 150001, China |
|
|
Abstract Objective To explore the application value of quality nursing in patients with Alzheimer′s disease and the improvement in cognitive dysfunction and living ability. Methods From January 2015 to December 2016, 200 patients with Alzheimer′s disease in the Outpatient Department, the Fourth Affiliated Hospital of Harbin Medical University were selected and divided into the observation group and the control group by random number table, with 100 cases in each group. The control group was given routine nursing mode and the observation group was given high quality nursing intervention. The mini-mental state examination (MMSE), Montreal cognitive assessment scale (MoCA), Alzheimer′s disease assessment scale (ADAS-cog), Alzheimer′s disease cooperative study ADL (ADCS-ADL) were applied to evaluate the cognitive function and the living ability in the two groups. Results Before nursing, there were no statistically significant differences in the scores of MMSE, MoCA, ADAS-cog and ADCS-ADL (P > 0.05). After nursing of 3 month and 6 month, the scores of MMSE, MoCA and ADCS-ADL in the observation group were all significantly higher than those of control group, the scores of ADAS-cog was lower than that of control group, with statistically significant differences (all P < 0.05). Conclusion Quality nursing can improve the cognitive function and daily living ability of Alzheimer′s patients. It can improve the independent living ability and reduce the burden of family. It is worthy of promotion and application.
|
|
|
|
|
[1] 雷建明,王文尚,方玲,等.阿尔兹海默病与血管性痴呆的诊疗对比[J].中国医药导报,2015,8(20):74-76.
[2] 刘欣艳,刘闻莺,余雪君,等.营养状况与阿尔兹海默病的相关性研究[J].中国医药导报,2014,34(18):62-65.
[3] 中华医学会精神病学分会.中国精神障碍分类与诊断标准第三版(精神障碍分类)[J].中华精神科杂志,2001,34(3):184-188.
[4] 赫晓慈,宁文杰,田素斋,等.阿尔兹海默症患者吞咽障碍护理干预的研究进展[J].中国护理管理,2015,45(4):429-432.
[5] 王恩石,孙爱国,马维丽,等.Orem自理护理模式在阿尔兹海默病患者中的应用效果[J].中华现代护理杂志,2016, 22(17):2458-2461.
[6] 周春霞,赵娜,赵淑健,等.阿尔兹海默病患者行经皮冠状动脉支架植入术围手术期的安全管理[J].河北医药,2015,34(21):3357-3359.
[7] 王建女,章秋萍,段海鸿,等.阿尔兹海默病患者误吸/窒息风险影响因素研究[J].护理与康复,2016,13(5):423-426.
[8] 周凤亚,林勇,费玉娥,等.便携式静脉显影器在阿尔兹海默病患者静脉穿刺中的应用[J].护士进修杂志,2017, 32(5):478.
[9] 廖淑莉,邓喜眉,邓玉桃,等.主动护理在阿尔兹海默病护理路径中的重要性研究[J].中国医学创新,2015,45(17):71-73.
[10] 郭春红,高竹鹏.61例阿尔兹海默病合并股骨粗隆骨折患者抗旋髓内钉治疗的护理[J].天津护理,2014,22(1):19-20.
[11] Sakurai F,Nakashima K,Yamaguchi T,et al. Adenovirus serotype 35 vector-induced innate immune responses in dendritic cells derived from wild-type and human CD46-transgenic mice:Comparison with a fiber-substituted Ad vector containing fiber proteins of Ad serotype 35 [J]. J Control Release,2015,148(2):212-218.
[12] Ciezki JP,Klein EA,Angermeier K,et al. A retrospective comparison of androgen deprivation(AD)vs. no AD among low-risk and intermediate-risk prostate cancer patients treated with brachytherapy,external beam radiotherapy,or radical prostatectomy [J]. Int J Radiat Oncol,2014,60(5):1347-1350.
[13] Reiter K,Alpert KI,Cobia DJ,et al. Cognitively normal individuals with AD parents may be at risk for developing aging-related cortical thinning patterns characteristic of AD [J]. Neuro Image,2015,61(3):525-532.
[14] Werner P,Goldberg S,Mandel S,et al. Gender differences in lay persons′ beliefs and knowledge about Alzheimer′s disease(AD):A national representative study of Israeli adults [J]. Arch Gerontol Geriat,2013,56(2):400-404.
[15] Morimoto K,Horio J,Satoh H,et al. Expression Profiles of Cytokines in the Brains of Alzheimer's Disease(AD)Patients Compared to the Brains of Non-Demented Patients with and without Increasing AD Pathology [J]. J Alzheimers Dis,2015,25(1):59-76.
[16] 江芳辉.应用整体护理干预老年痴呆患者认知功能的效果分析[J].护士进修杂志,2014,29(8):721-723.
[17] 郑娜,沈军.养老院老年痴呆护理员压力及相关因素分析[J].中国全科医学,2011,14(13):1491-1492.
[18] 张睿,杨莘,王玲,等.老年痴呆患者照顾者照顾感受的质性研究[J].中华护理杂志,2008,43(7):589-592.
[19] 李燕,方莉娜,陈静,等.系铃铛法在预防老年痴呆住院患者坠床跌倒中的应用效果[J].护士进修杂志,2015, 30(6):553-554.
[20] 王慧文,薛慧英,朱启文,等.老年痴呆病人照料者负担及相关因素分析[J].中国卫生统计,2015,32(4):627-628.
[21] 盛志娟,向梅,金雅君,等.误吸/窒息危险因子评估表在老年痴呆护理中的应用体会[J].中国全科医学,2012, 15(32):3805-3806. |
|
|
|