家庭系统干预联合积极心理干预对老年痴呆症居家患者生活质量、认知功能的影响

The effect of family system intervention combined with active psychological intervention on the quality of life and cognitive function of patients with senile dementia

目的探讨家庭系统干预联合积极心理干预对老年痴呆症居家患者生活质量、认知功能的影响。方法选取2017年5月至2018年5月郑州大学第一附属医院收治的老年痴呆症出院患者93例为研究对象,随机将其分为对照组和干预组。对照组给予常规居家康复护理,干预组在对照组的基础上给予家庭系统干预联合积极心理干预。对两组患者均进行6个月的居家康复护理干预,调查两组患者干预前和干预6个月后的生活质量评分及认知功能评分,并对其进行比较。结果两组患者干预前生活质量评分比较差异无统计学意义(P>0.05),干预6个月后,干预组患者的生理功能、社会功能、总体健康及心理健康评分均显著高于对照组,差异有统计学意义(均P<0.05)。两组患者干预前认知功能评分比较差异无统计学意义(P>0.05),干预6个月后,干预组患者的表达能力、阅读能力、判断能力及时间概念评分均显著高于对照组,差异有统计学意义(均P<0.05)。结论对居家康复的老年痴呆症患者应用家庭系统干预联合积极心理干预,能有效提升患者的生活质量和认知能力,值得推广和使用。

Objective To explore the effect of family system intervention combined with positive psychological intervention on the quality of life and cognitive function in patients with senile dementia at home.Methods A total of 93 patients with senile dementia admitted and discharged from the hospital from May 2017 to May 2018 were selected as study subjects and randomly divided into the control group and the intervention group.The control group was given routine home-based rehabilitation nursing,and the intervention group was given home-based rehabilitation nursing based on family systematic intervention combined with positive psychological intervention.After 6 months of home-based rehabilitation nursing intervention,the quality of life scores and cognitive function scores of patients in the two groups were investigated and compared before and after 6 months of intervention.Results There was no significant difference in quality of life scores between the two groups before intervention(P>0.05).After 6 months of intervention,the physiological function,social function,overall health and mental health scores of the intervention group were significantly higher than those of the control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference between the two groups in cognitive function scores before intervention(P>0.05).After 6 months of intervention,the scores of expression ability,reading ability,judgment ability and time concept in the intervention group were significantly higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions Family system intervention combined with positive psychological intervention can effectively improve the quality of life and cognitive ability of patients with senile dementia,which is worth popularizing and using.