农村社区血管性痴呆患者家庭干预对照研究

Controlled study of family intervention for vascular dementia in rural areas

目的:探讨农村社区血管性痴呆患者家庭干预的有效性。方法:将403例血管性痴呆患者随机分为干预组及对照组。辅以定时访视和家庭座谈会为主的教育性干预,于干预前、干预6个月末分别进行简易智力状态检查(MMSE)、社会功能缺陷筛选量表(SDSS)、痴呆简易筛查量表(BSSD)、大体评定量表(GAS)、患者亲属调查表(自编)、家属对疾病的认识调查表(自编)评定。结果:两组比较,治疗前后药物治疗的依从性,病情好转程度,治疗前后的社会功能、劳动能力,家属对疾病的认识及对患者的照管态度,总体疗效评定干预组均优于对照组。结论:心理教育性家庭干预能改善患者病情,简单易行,适合在农村社区推广。

Objective:To explore the efficacy of family intervention for the patients with vascular dementia (VD) in the rural areas.Method:403 patients with VD were randomly assigned into two groups: the intervention group and control group. The intervention measures mainly included interview bimonthly and family sessions. The efficacy was measured with mini-mental state examination (MMSE),social disability screening schedule (SDSS),brief screening scale for dementia (BSSD),global assessment scale (GAS)before intervention and after 6 months intervention.Results:All the scales were significantly improved in the intervention group than in the control group.[WTHZ]Conclusion:Family intervention is effective to VD and easy to be carried out, so it is suitable for VD patients in the rural areas.