健康信念模式为框架的护理干预对老年痴呆患者认知功能障碍及生活质量的影响

Influence of health belief nursing intervention on cognitive impairment and quality of life of patients with Alzheimer's disease

目的探讨基于健康信念模式为框架的护理干预对老年痴呆患者认知功能障碍及生活质量的影响。方法选取71例老年痴呆患者,随机分为观察组36例和对照组35例,对照组予以常规护理干预,观察组在对照组基础上实施基于健康信念模式为框架的护理干预,观察并比较2组认知功能评分(MMSE)、生活质量各指标评分及语言能力评分、意外事件发生情况及护理满意度评分。结果干预后观察组MMSE评分高于对照组(P<0.05);干预后观察组生活质量各指标评分均高于对照组(P<0.05);观察组干预后阅读及听理解能力评分高于对照组(P<0.05);观察组意外事件发生率为8.33%,低于对照组的28.57%(P<0.05);观察组护理满意度为91.67%,高于对照组的71.43%(P<0.05)。结论基于健康信念模式为框架的护理干预可改善老年痴呆患者认知功能、语言能力及生活质量,且意外事件发生率低,护理满意度高。

Objective To explore the effect of nursing intervention on cognitive impairment and quality of life in elderly patients with Alzheimer＇s disease. Methods A total of 71 senile dementia in our hospital were randomly divided into observation group （36 cases） and control group （ 35 cases）. The control group was treated with routine nursing intervention, and the observation group was additionally treated with health belief nursing intervention. The mini-mental state examination （ MMSE）, quality of life score and language ability score, and the incidence of accidents and nursing satisfaction score of the 2 groups were statistically analyzed. Results The MMSE score of the observation group was higher than that of the control group （P 〈 0.05 ） ; After the intervention, the qualityof life score of the observation group was higher than that of the control group, the difference was statistically significant （ P 〈 0.05 ） ; The scores of reading comprdhension and listening comprehension in the observation group were higher than those in the control group, the difference was statistically significant （P 〈 0.05 ） ; The accident rate of the observation group was 8.33%, which was lower than 28.57% of the control group （ 10/35 ）, and the difference was statistically significant （ P 〈 0.05 ） The nursing satisfaction of the observation group was 91.67%, which was higher than 71.43% of the control group, and the difference was statistically significant （P 〈 0.05 ）. Conclusion The nursing intervention based on the health belief model can improve the cognitive function, language ability andquality of life of patients with Alzheimer＇s disease, and reduce the incidence of accidents and increase satisfaction.