家庭护理干预对提高阿尔茨海默病患者的生存质量的影响

Effect of Family Nursing to Improve the Life Quality of Patients with Alzheimer＇s Disease

目的：探讨家庭护理干预对提高阿尔茨海默病患者的生存质量的效果.方法：52例AD患者由护士以定期家访和电话访问的形式进行家庭护理干预,包括为患者提供心理护理、综合能力训练、家居安全护理等,每周1次,每次30～60min,持续时间9个月.干预前后采用简易智能状态检查表（MMSE）、日常生活能力量表（ADL）、健康状况调查问卷（SF-36）、汉密顿焦虑量表（HAMA）、汉密顿抑郁量表（HAMD）进行评定.结果：干预后AD患者的MMSE、ADL、SF～36、HAMA、HAMD得分差异有显著性意义（P〈0.01）.结论：家庭护理干预能有效提高患者的生存质量,延缓病情的进展.

Objectives To explore the effect of family nursing to improve the life quality of patients with A1zheimer＇s disease. Methods 52 patients with Alzheimer＇s disease received family nursing by nurses. The intervention included home visiting and telephone interviews,in which the nurses provided psychological nursing, comprehensive ability training and home security care to the patients. The intervention was given once a week and lasted 30-60 minutes each time. The duration of the whole intervention lasted nine months. Use MMSE, ADL,SF--36,HAMA and HAMD to assess before and after intervention. Results There were significant difference between pre--interventions and post-- interventions in the scores of MMSE, ADL,SF-36,HAMA and HAMD（ P 〈0. 01）, Conclusions Family nursing interventions can effectively improved the patients＇ quality of life and delay the course of AD.