老年性痴呆的社区康复干预

Dementia Community Rehabilitation Intervention

目的:探讨社区康复干预对老年痴呆患者的影响。方法:将90例老年痴呆患者随机分为对照组与干预组,对照组45例给予一般药物治疗,干预组45例在对照组基础上给予社区康复干预措施,并对两组患者进行定时、定点监测,同时进行家访,使用阴、阳性症状量表(PANSS)、生活质量量表(QQL-100)、康复状态量表(MRSS)、简易智力量表(MMSE)、常识-记忆-注意测验量表(IMCT)及患者1年内疾病控制情况进行测评。结果:干预组干预后的PANSS各项得分均明显高于对照组(P<0.05),在干预后的QQL-100各项评分显著高于对照组(P<0.05),干预后的MRSS、MMSE以及IMCT得分均明显高于对照组(P<0.05);干预组1年内疾病总体控制情况明显优于对照组(P<0.05)。结论:社区康复干预能够显著改善老年痴呆患者的临床症状,改善患者的社会适用力和生活质量,提高患者智力以及记忆力水平,应该在社区中广泛开展。

Objective： To study the community rehabilitation intervention on the influence of older adults with dementia.Methods：90 patient with dementia patients were randomized control group and control group intervention group,45 cases given general drug therapy, interventiun group i~ 45 cases in control group based on given community rehabilitation intervention measures,and two groups of patients who regularly dot.monitering,and home visits,use Yin,positive symptoms scale （PANSS）,the quality of life,scale（QQL-100）,rehabilitation status scale（MRSS）,simple intelligent scale（MMSE）,common sense-memory-pay attention to test scale （IMCT） and patient 1 year disease control situation evaluation.Results：Th intervention group after the scoring PANSS intervention were significantly higher in control group（P〈0.05）,after the intervention QQL-100 variou score significantly higher than that in control group （P〈0.05）,the intervention of MRSS,afler IMCT scoring and MMSE were significantly highe than those in the control group（P〈O.O5）.Intervention group I year disease overall control situation obviously better than the control group（P〈O.05）. Conclusions：Community rehabilitation intervention to significantly improve dementia patients with clinical symptoms and improve patients witl social applicable power and the quality of life and improve their intelligence and memory level should in community extensively.