医养结合延伸性护理在中度痴呆患者中的应用效果

Nursing Effect of Medical Care Combined with Extended Care in Patients with Moderate Dementia and Its Effect on Cognitive Function

目的:探讨医养结合延伸护理在中度痴呆患者中的护理效果。方法:选择2016年4月-2018年12月治疗的中度痴呆患者60例作为对象,随机数字表分为对照组(n=30)和观察组(n=30)。对照组给予常规护理,观察组在对照组基础上联合医养、延伸性护理,1个月护理后对患者效果进行评估,比较两组认知功能、不良事件发生率。结果:两组护理后1、2、3及4周MMSE评分,均高于护理前(P<0.05);观察组护理后不同时间点MMSE评分高于对照组(P<0.05);观察组护理后1个月误吸、跌倒、走失、噎食呛咳及坠床自伤发生率均低于对照组(P<0.05)。结论:将医养结合延伸护理用于中度痴呆患者中能改善患者认知功能,降低不良事件发生率,值得推广应用。

Objective:To explore the effect of nursing combined with extended nursing on patients with moderate dementia and its impact on cognitive function.Method:Sixty patients with moderate dementia who were treated from April 2016 to December 2018 were enrolled.They were divided into control group(n=30) and observation group(n=30) by random number table.The control group received routine nursing.The observation group was combined with medical care and extended care on the basis of the control group.The effect of the patients was evaluated after 1 month of nursing.The cognitive function and adverse event rate were compared between the two groups.Result:The MMSE scores at 1 week,2 weeks,3 weeks and 4 weeks after treatment were higher than those before treatment(P<0.05).The MMSE scores of the observation group at different time points after treatment were higher than those of the control group(P<0.05).The incidence of aspiration,falls,loss,eating and coughing and bed-breaking self-injury in the observation group was lower than those in the control group(P<0.05).Conclusion:The combination of medical and extended care for patients with moderate dementia can improve the cognitive function of patients and reduce the incidence of adverse events,which is worthy of popularization and application.