老年痴呆康复训练的三要素

Three elements of the rehabilitative training on patients with senile dementia

目的探讨对老年痴呆患者切实有效的整体康复措施。方法采用随机、双盲、对照试验法,将60例老年痴呆患者分为对照组和试验组,试验组进行患者、照料者、康复治疗师三方面互动的综合康复训练。用MMSE量表和ADL量表评分的变化来判断患者生活质量的改善情况。结果有完整回访资料者试验组28例,对照组26例治疗前MMSE及ADL评分无显著差异。试验组治疗6个月的MMSE评分高于本组治疗前MMSE评分,也高于对照组治疗6个月的MMSE评分(P均<0.05)。试验组治疗12个月的ADL评分低于本组治疗前的ADL评分,也低于对照组治疗12个月的ADL评分(P均<0.05)。结论康复训练能改善老年痴呆患者的生活质量,患者、照料者、康复治疗师三方面的互动是康复训练成功的关键。

Objective To investigate the effective holistic rehabilitation measures for patients with senile dementia. Methods A double-blind randomized control trial was designed. Sixty patients with senile dementia were randomly divided into two groups, experimental group and control group. The experimental group received complex rehabilitative training. Patients, care givers and rehabilitative therapists were interactive in the training. MMSE and ADL scales were used to evaluate the improvement of quality of life. Results The MMSE scores and the ADL scores before treatment were not significantly different between two groups. The MMSE scores of experimental group at the 6 months were higher than those before treatment, and also higher than those of control group at the 6 months （P 〈 0.05）. The ADL scores of experimental group at the 12 months were lower than those before treatment, and also lower than those of control group at the 12 months （P 〈 0.05）. Conclusion Rehabilitative training can improve the quality of life of patients with senile dementia, the interaction among patients,care giver and rehabilitative therapist is the key to the success of rehabilitative training.