三维干预对轻度老年痴呆患者住院期间徘徊行为的影响

Effect of three-dimensional intervention on wandering behaviors during hospitalization of patients with mild Alzheimer′s disease

目的探讨降低轻度老年痴呆患者住院期间徘徊行为的有效方法。方法将60例轻度老年痴呆患者按照就诊先后顺序分为对照组和观察组各30例,对照组采取常规护理,观察组实施三维干预,即从调整危险因素、缓解当前症状及增进生活质量干预策略3个方面进行干预。干预前后采用Algase徘徊量表、老年痴呆生活质量量表进行调查,并比较两组徘徊相关不良事件发生率。结果干预后观察组徘徊行为各因子、生活质量各维度评分及总分显著优于对照组,相关不良事件发生率显著低于对照组(P<0.05,P<0.01)。结论轻度老年痴呆患者住院期间实施三维干预能够降低徘徊行为,减少不良事件的发生,提高患者生活质量。

Objective To evaluate the effect of three-dimensional intervention on wandering behaviors during hospitalization of patients with mild Alzheimer′s disease. Methods Totally, 60 patients with mild Alzheimer′s disease were sequentially divided into 2 groups, with 30 cases in each group. The control group was given conventional nursing care, while the intervention group was given three-dimensional intervention: interventional strategies were sought from the perspectives of adjusting risk factors, alleviating current symptoms, and improving quality of life. The before- after differences of wandering behaviors, quality of life between the two groups were compared by using the Algase Ranking Scale (RAWS)and the Dementia- Quality of Life Scale (DQOL), and the incidence rates of adverse events related to wandering behaviors were compared, too. Results The intervention group had higher total and dimension scores of RAWS and DQOL than the control group after intervention, and lower incidence rate of adverse events related to wandering behaviors ( P <0.05, P <0.01). Conclusion Three-dimensional intervention during hospitalization can reduce wandering behaviors, decrease the incidence rate of adverse events, and improve the quality of life of patients with mild Alzheimer′s disease.