中医综合护理措施联合常规疗法对血管性痴呆患者生活质量的影响

A Study on Effect of Comprehensive Nursing Measures of Chinese Medicine Combined with Routine Treatment on Quality of Life of Patients with Vascular Dementia

目的:观察中医综合护理措施联合常规疗法对血管性痴呆(VD)患者生活质量的影响。方法:将78例肾精亏虚、疾血阻络型VD患者随机分为对照组38例和观察组40例。2组均予多奈哌齐片、尼莫地平片治疗,并给予常规护理措施,观察组给予中医综合护理措施,包括情志护理、饮食指导和艾灸、穴位按摩。2组均连续观察8周。治疗前后使用日常生活能力量表(ADL)评价日常生活能力,使用老年痴呆生活质量量表(QOL-AD)评价生活质量,并进行护理满意度的评价。结果:治疗后,2组QOL-AD评分均较治疗前升高(P<0.01),ADL评分均较治疗前下降(P<0.01);观察组QOL-AD评分高于对照组(P<0.01),ADL评分低于对照组(P<0.01)。观察组护理满意度高于对照组(P<0.05)。结论:在常规治疗与护理的基础上加用情志护理、饮食指导、艾灸和穴位按摩等中医综合护理措施干预,能提高VD患者的日常生活能力和生活质量,对护理措施满意度高。

Objective:To observe the effect of comprehensive nursing measures of Chinese medicine combined with routine treatment on quality of life of patients with vascular dementia(VD).Methods:A total of 78 cases of VD patients of kidney essence deficiency type and static blood obstructing the collaterals type were randomly divided into the control group and the observation group,38 and 40 cases in each group respectively.Both groups were treated with donepezil hydrochloride tablets and nimodipine tablets,and received routine nursing measures.The observation group was additionally given comprehensive nursing measures of Chinese medicine including emotional nursing,dietary guidance,moxibustion and acupoint massage.Both groups were observed for eight weeks.Before and after treatment,the activities of daily living were evaluated by Activities of Daily Living Scale(ADL);the quality of life was evaluated by Quality of Life in Alzheimer’s Disease(QOL-AD);the nursing satisfaction was evaluated.Results:After treatment,the scores of QOL-AD in the two groups were increased when compared with those before treatment(P <0.01),while the scores of ADL were decreased when compared with those before treatment(P<0.01);the score of QOL-AD in the observation group was higher than that in the control group(P <0.01),while the score of ADL was lower than that in the control group(P <0.01).The nursing satisfaction in the observation group was higher than that in the control group(P<0.05).Conclusion:Based on routine treatment and nursing,the intervention of comprehensive nursing measures of Chinese medicine including emotional nursing,dietary guidance,moxibustion and acupoint massage can improve the activities of daily living and quality of life of VD patients,and has good nursing satisfaction.