延续性护理对老年认知功能障碍患者认知功能及生活质量的影响

The effect of continuous nursing on cognitive function and quality of life in elderly patients with cognitive impairment

目的:研究延续性护理对老年认知功能障碍患者的认知功能及生活质量的影响。方法:选取2016年1月～2017年12月于我院就诊的H型高血压合并认知功能障碍的患者168例为研究对象,根据是否给于延续性护理分为对照组(74例)和观察组(94例)。对照组采用我院常规护理干预,观察组在常规护理基础上进行延续性护理。分别于护理前后通过长谷川痴呆量表(HDS)和生活质量调查问卷(SF-36)对两组患者的认知功能和生活质量进行考察分析。结果:护理前两组患者在一般资料、认知功能及生活质量评分等方面相比均无显著性差异(p>0.05),具有可比性。护理后对照组和观察组患者的认知功能评分分别为23.43±3.11和28.84±5.43,且两者相比具有显著性差异(p<0.05)。护理后两组患者在生理功能、生理职能、躯体疼痛、精力、社会功能、情感职能、精神健康以及总体健康评分等SF-36维度方面相比均存在显著性差异(P<0.05)。结论:延续性护理作为一种有效的护理干预措施,其可以显著的改善老年认知功能障碍患者的认知功能和生活质量,值得临床推广应用。

Objective To study the effects of continuous nursing on cognitive function and quality of life in elderly cognitive dysfunction patients.Methods A total of 168 patients with H-type hypertension and cognitive dysfunction who were admitted to our hospital from January 2016 to December 2017 were enrolled.The patients were divided into the control group(74 cases)and observed according to whether they were given continuous care.Group(94 cases).The control group was treated with routine nursing intervention in our hospital,and the observation group was given continuous nursing on the basis of routine nursing.The cognitive function and quality of life of the two groups were analyzed by the Hasegawa Dementia Scale(HDS)and the Quality of Life Questionnaire(SF-36)before and after treatment.Results There was no significant difference in the general data,cognitive function and quality of life score between the two groups before treatment(p>0.05),which was comparable.The cognitive function scores of the control group and the observation group were 23.43±3.11 and 28.84±5.43,respectively,and there was a significant difference(p<0.05).After the nursing,there were significant differences in the SF-36 dimensions between the two groups in terms of physiological function,physiological function,physical pain,energy,social function,emotional function,mental health and overall health score(P<0.05).Conclusion As an effective nursing intervention,continuous nursing can significantly improve the cognitive function and quality of life of elderly cognitive dysfunction patients,which is worthy of clinical application.