探讨分阶段延伸护理对老年痴呆患者认知功能及日常生活能力的影响

Explore the effects of staged extended nursing on cognitive function and daily living ability of patients with senile dementia

目的分析分阶段延伸护理对老年痴呆患者认知功能及日常生活能力的影响。方法以计算机随机表数字法将2017年1月至2019年1月在本院进行治疗的100例老年痴呆患者随机分为参照组和研究组,参照组患者例数为50例,施以常规出院护理,研究组患者例数为50例,施以分阶段延伸护理,对两组患者护理前后的认知功能评分、日常生活能力评分、生活质量评分变化进行比较,并且观察两组患者护理后的康复效果。结果参照组护理前的认知功能评分、日常生活能力评分、生活质量评分和研究组比较,差异无统计学意义(P>0.05),参照组和研究组护理后的认知功能评分、日常生活能力评分、生活质量评分均比护理前显著更高(P <0.05),且研究组护理后的认知功能评分、日常生活能力评分、生活质量评分显著高于参照组,差异均有统计学意义(P <0.05)。参照组护理康复效果显著差于研究组,差异有统计学意义(P <0.05)。结论在老年痴呆患者的临床护理中,分阶段延伸护理不仅在提高患者认知功能、日常生活能力以及改善患者生活质量方面具有明显优势,同时还可以对患者的康复效果产生积极作用,值得推广。

Objective To analyze the effect of staged extended care on cognitive function and daily life ability of patients with senile dementia. Methods 100 patients with Alzheimer’s disease who were treated in our hospital from January 2017 to January 2019 were randomly divided into a reference group and a study group by computer random table number method. The number of patients in the reference group was 50, and they were given routine discharged care. The number of patients in the study group was 50, and they were given staged extended care. The cognitive function score, daily life ability score, and quality of life score of the two groups of patients before and after care were compared, and the rehabilitation effects of the two groups of patients after nursing were observed. Rehabilitation effect. Results There were no statistically significant differences in cognitive function score, daily life ability score, and quality of life score between the reference group and the study group before nursing(P > 0.05). The cognitive function score, daily life ability score, and quality of life score of the reference group and the study group after nursing were significantly higher than before nursing(P < 0.05), and the cognitive function score,daily life ability score and quality of life score of the study group after nursing were significantly higher than the reference group, the differences were statistically significant(P < 0.05). The nursing rehabilitation effect of the reference group was significantly worse than that of the study group, and the difference was statistically significant(P < 0.05). Conclusion In the clinical care of patients with Alzheimer’s disease, the staged extended care not only has obvious advantages in enhancing patient’s cognitive function, daily life ability and improving the patient’s quality of life, but also can have a positive effect on the patient’s rehabilitation effect, which is worth promoting.