适应模式在阿尔茨海默病患者日常生活能力训练中的应用

The application of adaptation model in daily life ability training in patients with dementia of Alzheimer＇s disease

目的探讨以“适应模式”为指导的口常生活能力训练在阿尔茨海默病患者中的应用效果。方法选取32例阿尔茨海默病患者，采用随机数字法将其分为试验组（n=16）和对照组（n=16）。两组均进行常规药物治疗，试验组在常规药物治疗基础上进行6个月以“适应模式”为指导的日常生活能力训练。干预前后分别进行老年临床评定量表（SCAG）和日常生活能力量表（ADI．）评定。结果（1）训练6个月后，试验组ADL、SCAG总分及各因子得分与对照组相比，均差异有统计学意义（均P〈0．05）。（2）训练6个月后，试验组ADI．量表总分与训练前[（4134±11．02）分，（34．14±8．40）分]比较，差异有统计学意义（t=2．08，P〈0．05），（3）训练6个月后，试验组SCAG总分与训练前[（92．56±4．24）分，（7531±6．26）分]比较，差异有统计学意义（t=9．12，P〈0．05）。结论以“适应模式”为指导的口常生活能力训练在阿尔茨海默病患者中的应用效果良好。此模式可在痴呆患者的居家护理、社区日问托老机构和老年病病房中推广运用。

Objective To explore the effect of daily life ability training guided by adaptation model in dementia patients with Alzheimer＇s disease（AD）. Methods 32 patients with dementia of AD were di- vided into experimental group（n= 16） and control group （n = 16） according to the random number method. The patients in two groups were treated with conventional drugs. The patients in experimental group were trained for daily living ability guided by ＂adaptation mode＂ for 6 months in addition.Scale of Clinical Assess- ment for Geriatrics （SCAG） and Activity of Daily Living Scale （ADL） were assessed before and after six months. Results （ 1 ） After 6 months training, the total scores of ADL and SCAG and the scores of each fac- tor in the experimental group were significantly different from those of the control group （ P〈0.05 ）. （2） After 6 months training,the total score of the ADL scale in the experimental group was decreased than that before training （ （ 41.34± 11.02）, （ 34.14 8. 40 ） ）, and the difference was statistically significant （ t = 2.08, P〈 0.05）. （3） Compared with that before training,the total score of the SCAG scale in the experimental group was significantly decreased（92.56±4.24,75.31±6.26,t=9.12,P〈0.05）. Conclusion The daily life ability training guided by adaptation model is effective in the treatment of dementia patients with AD. The ＂adaptive model＂ is available in home care, community daycare institutions and geriatric ward for patients with demen- tia in AD.