宽松环境下行康复益智训练对痴呆患者康复效果的影响

目的探讨宽松环境下行康复益智训练对早期痴呆患者的康复作用。方法将74例患者随机分为对照组36例和训练组38例。对照组实施常规的护理,训练组在营造和建立宽松环境后对其进行康复益智训练。采用简明精神量表(MMSE),常识、记忆、注意测量量表(IMCT)和日常生活能力量表(ADL)分别于训练半年和1年后评定和比较两组患者的康复效果。结果训练半年和1年后,训练组MMSE和IMCT评分高于对照组,而ADL评分则低于对照组(均P<0.05)。结论宽松环境下行康复益智训练,能提高痴呆患者的认知水平,改善症状、延缓病情进展,从而提高其生活质量。

Objective To explore the effect of rehabilitation training under the easy circumstances on the rehabilitation of Alzheimer＇s disease（AD）.Methods 74 AD patients were randomly divided into the control group and the intervention group.The control group received routine nursing intervention while the intorvention group received rehabilitation training under easy circumstances.The mini-mental state examination（MMSE）,information-memory-concentration test scale（IMCT） and the activities of daily living scale（ADL） were adopted to evaluate the rehabilitation effect 6 months and 1 year after training.Result 6 months and 1 year after raining,the scores of the intervention group by MMSE,IMCT were significantly improved compared to the control（P0.05）,while the ADL score was significantly lower（all P0.05）.Conclusion The rehabilitation training under the easy circumstances can be an effective method for the improvement of the cognitive level of patients,abate symptoms and delay the disease progress.