社区综合干预措施对老年性痴呆患者康复的效果研究

Effect of community intervention on the rehabilitation of patients with senile Dementia

目的探讨社区综合干预措施对老年性痴呆患者康复的效果,提高社区卫生老年保健水平。方法将纳入社区管理并建档的80例老年痴呆患者随机分为对照组与干预组各40例,对照组予一般药物治疗,干预组在对照组基础上予社区康复综合干预措施,并对两组患者进行定时、定点监测,应用阴、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评估。结果干预组干预后的PANSS得分、QQL-100评分、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)。结论社区综合干预可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。

Objective To investigate the effect of community intervention on the rehabilitation of patients with senile dementia, improving community health elderly care level. Methods 80 cases of senile dementia patients who were incorporated into the community management and archiving were randomly assigned to control group and intervention group with 40 cases in each group. The control group of patients was given conventional drug treatment, while patients in the intervention group were given additional community-based rehabilitation interventions. Fixed-time and point monitoring were given to patients in both groups. Patients＇ disease control status within the past one year were evaluated with Positive and Negative Symptom Scale （PANSS）, Quality of Life Scale （QQL-100）, Morningside Rehabilitation Status Scale （MRSS）, Mini-mental State Examination （MMSE） and Information-Memory-Concentration Test （IMCT）. Results After Intervention, PANSS, QQL-100, MRSS, MMSE and IMCT scores of the intervention group were significantly higher than those of the control group （P 〈 0.05）; 1 year disease overall control was significantly better in the intervention group （P 〈 0.05）. Conclusion Community intervention can significantly improve the clinical symptoms of senile dementia patients, enhance patients＇ social adaption and quality of life, and improve patients＇ intelligence and memory.