循证护理在老年痴呆患者中的应用效果探讨

Study on Application Effect of Evidence-based Nursing in Senile Patients with Dementia

目的探究循证护理在老年痴呆患者中的应用效果。方法方便选取2014年1月—2017年1月该院收治的64例老年痴呆患者纳入研究,随机分成2组,对照组32例实施常规护理,观察组32例实施循证护理,对比两组护理效果。结果经积极护理后,在MMSE评分、ADL评分方面,对照组分别为(17.08±2.45)分、(52.53±8.50)分,观察组分别为(22.48±3.25)分、(72.49±10.84)分;观察组评分均明显高于对照组,两组数据差异有统计学意义(P<0.05)。经积极护理后,对照组躯体功能(67.1±8.5)分、躯体角色(30.2±4.1)分、社会功能(49.7±7.4)分、情感角色(51.3±7.6)分、生命力(56.7±7.8)分;观察组躯体功能(75.2±7.5)分、躯体角色(44.2±6.5)分、社会功能(58.2±9.4)分、情感角色(69.5±8.2)分、生命力(70.1±9.5)分;上述5项指标评分观察组均明显高于对照组,两组数据差异有统计学意义(P<0.05)。结论在老年痴呆患者中,实施循证护理,能够有效促进患者认知能力和日常生活能力的恢复,改善生活质量,值得推广应用。

Objective To study the application effect of evidence-based nursing in senile patients with dementia.Methods 64 cases of senile dementia patients admitted and treated in our hospital from January 2014 to January 2017 were convenient selected and randomly divided into two groups with 32 cases in each,the control group adopted the routine nursing,while the observation group adopted the evidence-based nursing,and the nursing effect was compared between the two groups.Results After the positive nursing the MMSE score and ADL score in the observation group were obviously higher than those in the control group,[(22.48±3.25)points,(72.49±10.84)points vs(17.08±2.45)points,(52.53±8.50)points],after the positive nursing,the somatic function,somatic role,social function,emotional role,vitality in the observation gropu were obviously higher than those in the control group,[(75.2±7.5)points,(44.2±6.5)points,(58.2±9.4)points,(69.5±8.2)points,(70.1±9.5)points vs(67.1±8.5)points,(30.2±4.1)points,(49.7±7.4)points,(51.3±7.6)points,(56.7±7.8)points],and the differences were statistically significant(P<0.05).Conclusion The evidence-based nursing in senile dementia patients can effectively promote the recovery of cognitive ability and daily living abilities,and improve the quality of life,and it is worth promotion and application.