社区康复训练模式对阿尔茨海默病患者认知功能和生存质量的影响

Effects of community recovery training mode on cognitive function and quality of life in patients with Alzheimer′s disease

目的评价社区康复训练模式在提高阿尔茨海默病(AD)患者认知功能及生存质量中的作用。方法选取AD患者110例,按临床就诊先后顺序随机分成两组,对照组55例在住院期间和出院时做常规康复训练与出院指导,出院后不作任何康复干预;干预组55例采用社区康复训练模式,无论住院或出院均进行记忆、逻辑思维、日常生活能力、定向力、体能等方面为期6个月的训练,采用MMSE量表和WHOQOL-BREF量表比较两组患者的认知功能和生存质量。结果入院时,两组患者的MMSE量表和WHOQOL-BREF量表评分比较无统计学差异(P>0.05);6个月后,干预组患者的MMSE量表评分为(24.16±4.12)分,高于对照组的(20.32±4.33)分,两组比较差异有统计学意义(t=3.87,P=0.022);同时干预组患者的WHOQOL-BREF量表评分为(69.65±7.03)分,显著高于对照组的(55.82±6.88)分,两组比较差异有统计学意义(t=6.69,P<0.001)。结论本社区探讨的康复训练模式可提高AD患者的认知功能及生存质量。

Objective To evaluate the effects of community recovery training mode on cognitive function and quality of life in patients with AD.Methods 110 patients with AD were divided into two groups.Patients in control group were treated with the basis of conventional rehabilitation during hospitalization,conventional guidance at discharged,and without any rehabilitation intervention after discharge.While patients in observation group and their caregivers were trained on memory,logic,orientation,daily living,physical capacity and other aspects either hospitalized or discharged for 6 month.The MMSE and WHOQOL-BREF between the two groups were compared at the admission time and 6 month after intervention.Results There were no statistical difference on MMSE and WHOQOL-BREF between the two groups at the admission time（P〉0.05）.After 6 month,the MMSE score in intervention group （24.16-±4.12） was higher than in the control group （20.32± 4.33）,which was significantly different （t=3.87,P=0.022）.And the WHOQOL-BREF score in intervention group （69.65 ± 7.03） was higher than in the control group （55.82-±-6.88）,which was also significantly different （t=6.69,P〈0.001）.Conclusion Community recovery training mode can significantly improve the cognitive function and quality of life in patients with AD.