个性化护理干预在脑栓塞伴发老年痴呆患者中的应用及对改善老年痴呆病理行为评分的影响

Application of Personalized Nursing Intervention in Patients with Cerebral Embolism Associated with Alzheimer's Disease and Its Effect on Improving the Pathological Behavior Score of Alzheimer's Disease

目的探讨脑栓塞伴老年痴呆患者应用个性化护理的临床效果以及对痴呆病理评分影响。方法方便选取2017年4月—2018年12月期间该院收治78例脑栓伴发老年痴呆患者,采用随机数字表法进行分组,每组39例患者,参照组患者采用常规护理干预,研究组给予个性化护理干预,对比两组患者精神状态(MMSE)评分、日常生活能力(ADL)评分、以及护理满意度评分。结果研究组患者MMSE(25.13±2.35)分、ADL评分(46.82±5.98)分优于参照组患者MMSE(19.68±1.56)分、ADL评分(34.23±5.12)分,差异有统计学意义(t=12.066、9.987,P=0.000、0.000<0.05)。研究组患者护理满意度94.87%显著高于参照组74.35%,差异有统计学意义(χ^2=6.303,P=0.012)。结论脑栓塞伴发老年痴呆患者应用个性化护理可以有效改善患者精神状态以及日常生活能力,并且可以有效提高护理质量,提高患者护理满意度,具有使用价值。

Objective To explore the clinical effect of personalized nursing in patients with cerebral embolism and Alzheimer's disease and its effect on dementia pathology score.Methods From April 2017 to December 2018,78 patients with cerebral embolism accompanied by senile diarrhea in the hospital were convenienty selected and grouped by random number table method,39 patients in each group,and patients in the reference group were treated with routine nursing intervention.The study group was given personalized nursing intervention,and the mental state(MMSE)score,daily living ability(ADL)score and nursing satisfaction score of the two groups were compared.Results The MMSE(25.13±2.35)points and ADL(46.82±5.98)points of the study group were better than the MMSE(19.68±1.56)points and ADL(34.23±5.12)points of the reference group,the difference was statistically significant(t=12.066,9.987,P=0.000、0.000<0.05).The nursing satisfaction of patients in the study group was 94.87%,which was significantly higher than that in the reference group,74.35%,the difference was statistically significant(χ^2=6.303,P=0.012).Conclusion The use of personalized care for patients with cerebral embolism and Alzheimer's disease can effectively improve the patient's mental state and daily living ability,and can effectively improve the quality of care and improve the patient's nursing satisfaction,with application value.