个体化行为干预对血管性痴呆患者生活能力的影响

Effect of individual behavior intervention for the ability of patients with vascular dementia

目的探讨个体化行为干预对血管性痴呆(VD)患者生活能力的影响。方法对76例VD患者随机分为研究组(36例)和对照组(40例),两组病人均使用常规治疗护理措施,并进行健康教育及康复训练。对研究组增加个体化行为干预。实施3月和6月后,采用简易精神状况检查(MMSE)、日常生活能力量表(ADL),并将测评结果加以比较。结果实施干预3月后,MMSE评分两组相比有显著性差异(P<0.05),ADL无显著性差异(P>0.05);实施干预6月后,ADL评分两组相比有显著性差异(P<0.05)。结论个体化行为干预能有利于VD患者ADL的提高。

Objective ： To explore the effee of individual behavior intervention for the ability of patients with vascular dementia. Methods 76 patients with vascular dementia were divided into research group（36 eases） and control group（40 cases） randomly. Two group patients were given conventional nursing and health education. Research group patients received individual behavior intervention in addition. Mini- Mental State Examination（MMSE） and Activity of Daily Scale（ADL） and Hasegawa＇s Dementia Scale（HDS） had been used after three months and six months training. Scores of two group patients were compared by statistics. Results There was no significant difference in seorea of three measuring scales between two group patients before individuation behavioral intervene （ P 〉 0.05 ）. There were significant difference in scores of MMSE and HDS between two group patients after three months training （ P 〈 0. 05 ） and there was no significant difference in score of ADL （ P 〉 0. 05 ）. There were significant difference in scores of MMSE , ADL and HDS between two group patients after six months training （ P 〈 0. 05 ）. Conclusion Individual behavior intervention can effectively improve the ability of ADL of patients with vascular dementia.