基于自立支援照护理念的康复训练对痴呆患者生活质量的影响

Effect of rehabilitation training based on the concept of self-supporting care on quality of life of patients with dementia

目的观察基于自立支援照护理念的康复训练对痴呆患者生活质量的影响。方法60例痴呆患者随机分为干预组与对照组,每组30例。对照组予常规药物治疗、护理服务和日常康乐活动。干预组在对照组基础上采用自立支援理念指导康复训练。采用简易精神状况量表(MMSE)、日常生活能力评估量表(ADL)、Cohen-Mansfield激越问卷(CMAI)及生命质量测量表(QOL-AD)等评分表评估两组生活质量的变化。结果与对照组比较,干预6、12个月后干预组患者的CMAI评分明显下降,QOL-AD评分明显升高(P<0.05);ADL评分有所升高,但差异无统计学意义(P>0.05)。结论对痴呆患者实施基于自立支援理念下的康复训练能显著改善其生活质量。

Objective To explore the effect of rehabilitation training based on the concept of self-supporting care on quality of life of patients with dementia.Methods Sixty patients with dementia were selected and randomly divided into the Intervention Group and the Control Group,30 cases in each group.The Control Group received conventional medication,nursing services and daily recreational activities.On the basis of the treatment for the Control Group,the Intervention Group received the rehabilitation training guided with the concept of self-support care.The Mini Mental Status Scale(MMSE),the Ability of Daily Living Assessment Scale(ADL),the Cohen-Mansfield Agitation Questionnaire(CMAI)and the Quality of Life Scale(QOL-AD)were used to evaluate the changes in the quality of life of the two groups.Results Compared with the Control Group,the Intervention Group had the CMAI score significantly decreased and had the QOL-AD score significantly increased at 6 and 12 months after the intervention,and the differences were statistically significant(P<0.05).The Intervention Group had the ADL score increased,but the difference was not statistically significant(P>0.05).Conclusion Rehabilitation training based on the concept of self-supporting care can significantly improve the quality of life of patients with dementia.