协同护理模式对阿尔茨海默病患者自我护理能力及生活质量的影响研究

Study on the effect of collaborative nursing model on self-care ability and quality of life in the patients with Alzheimer's disease

目的研究协同护理模式对阿尔茨海默病患者自我护理能力及生活质量的影响。方法随机选取2016年2月～2018年2月我院老年精神科病房收治的阿尔茨海默病患者100例,依据随机数字表法将患者分为协同模式护理组(协同组,n=50)和常规康复护理组(对照组,n=50),统计分析两组患者的MMSE评分、ADL评分、ESCA评分、PANSS评分、SF-36评分、临床疗效。结果协同组患者的MMSE评分、ESCA评分均显著高于对照组(P<0.05),ADL评分显著低于对照组(P<0.05),PANSS量表中阳性症状、阴性症状、一般精神病理评分均显著低于对照组(P<0.05),躯体、情绪角色功能、躯体、心理健康、躯体疼痛、精力及总体健康、社会功能评分、SF-36总分均显著高于对照组(P<0.05),护理的总有效率98.0%(49/50)显著高于对照组76.0%(38/50)(P<0.05)。结论协同护理模式较常规康复护理更能有效提升阿尔茨海默病患者自我护理能力及生活质量。

Objective To study the effect of collaborative nursing mode on self-care ability and quality of life in the patients with Alzheimer's disease. Methods A total of 100 patients with Alzheimer's disease who were admitted to the geriatric psychiatric wards in our hospital from February 2016 to February 2018 were randomly selected. According to the random number table method, these patients were divided into two groups: the collaborative mode nursing group (collaborative group, n=50) and the conventional rehabilitation nursing group(control group, n=50). The MMSE score, ADL score, ESCA score, PANSS score, SF-36 score and clinical efficacy were analyzed statistically in both groups. Results The MMSE score and ESCA score in the patients in the collaborative group were significantly higher than those in the control group(P<0.05). The ADL score was significantly lower than that in the control group(P<0.05). The positive symptoms, negative symptoms and general psychopathological scores in the PANSS scale were significantly lower than those in the control group(P<0.05). Body and emotional role function, physical and mental health, physical pain, energy and overall health, social function score, and total score of SF-36 were significantly higher than those in the control group(P<0.05). The total effective rate of nursing care was 98.0%(49/50), which was significantly higher than that of 76.0% in the control group(38/50)(P<0.05). Conclusion Collaborative nursing mode can improve the self-care ability and quality of life of the patients with Alzheimer's disease more effectively than conventional rehabilitation nursing.