照料者团体护理技能训练对阿尔茨海默病患者生存质量的影响

Effects of Caregiver Group Nursing Skills Training on Quality of Life of Patients with Alzheimer's Disease

目的探讨照料者团体护理技能训练对阿尔茨海默病患者生存质量的影响。方法选择阿尔茨海默病患者及照料者30对,按随机原则分为研究组和对照组各15对。对照组采用一般的护理指导,研究组在此基础上进行团体护理技能训练。两组分别在干预前和干预后采用简易精神状态检查量表(MMSE)、日常生活能力量表(ADL)、阿尔茨海默病患者生活质量量表(QOL-AD)进行评定。结果干预后研究组患者的ADL,QOL-AD得分均高于对照组,差异有统计学意义(t=2.186,P=0.011;t=4.64,P=0.038);MMSE得分与对照组相比差异有统计学意义(t=3.321,P=0.004)。结论提高照料者的护理技能,使阿尔茨海默病患者病程进展延缓,提高患者的日常生活能力和生活质量。

Objective To explore the effect of caregivers groups nursing skills training on quality of life of patients with Alzheimer disease. Methods A total of 30 pairs of patients with Alzheimer＇s disease and caregivers were chosen and divided into research group and control group according to the principle of random, each of 15. Control group used general care guide;Based on this, study group used for group care skills training. The two groups were assessed with Scale simple mental state examination（ MMSE）, Activity of daily living scale（ADL） , Alzheimer~ quality of life of patients with disease scale（ QOL - AD） before and after intervention. Results After the intervention, patients＇ADL and QOL- AD scores were higher in study group than in control group（ t = 2. 186 ,P = 0.011;t = 4. 64,P = 0.038 ）. The MMSE score was also statistically significant difference（ t = 3. 321 ,P = 0. 004）. Conclusion Improving the nursing skills of caregivers can slow progression of Alzheimer~ disease and improve patients＂ quality of life.