五行音乐手指操联合个性化护理在阿尔茨海默病患者中的应用

Application of five elements music finger exercise combined with personalized nursing in patients with Alzheimer’s disease

目的:探讨五行音乐手指操联合个性化护理对阿尔茨海默病患者认知功能、日常生活能力、睡眠质量和抑郁症状的影响,为阿尔茨海默病患者的护理工作提供一定的临床价值。方法:将60例阿尔茨海默病患者随机均分为三组,分别给予常规护理、个性化护理和五行音乐手指操联合个性化护理干预,护理前后采用简单智能状态检查量表(MMSE)、日常生活自理能力量表(ADL)、匹兹堡睡眠质量指数(PSQI)量表和汉密尔顿抑郁量表(24-HAMD)进行评分。结果:干预前和治疗1个月后,常规护理组、个性化护理组和联合治疗组的MMSE评分、ADL评分、PSQI评分和HAMD评分组间比较差异均无统计学意义(P>0.05);治疗3个月和6个月后,三组患者MMSE评分、ADL评分、PSQI评分和HAMD评分组间比较差异均有统计学意义(P<0.05)。结论:五行音乐手指操联合个性化护理能够有效地改善阿尔茨海默病患者的抑郁状况和认知功能,提高其日常生活能力和睡眠质量,促进患者自我管理和病情康复,值得临床推广应用。

Objective To study the effect of five elements music finger exercise combined with personalized nursing on cognitive function,activities of daily living,sleep quality and depression symptoms of patients with Alzheimer’s disease so as to provide certain clinical value for the nursing of patients with Alzheimer’s disease.Method 60 patients with Alzheimer’s disease were randomly divided into three groups,which were given routine nursing,personalized nursing and five elements music finger exercise combined with personalized nursing intervention.MMSE,ADL,PSQI and 24-hamd were used to score before and after nursing.Results There was no significant difference in MMSE,ADL,PSQI and HAMD scores among the three groups before intervention and 1 month after treatment(P>0.05);After 3 and 6 months of treatment,there were significant differences in MMSE score,ADL score,PSQI score and HAMD score among the three groups(P<0.05).Conclusion Five elements music finger exercise combined with personalized nursing can effectively improve the depression and cognitive function,ability of daily life and sleep quality of patients with Alzheimer’s disease so that is helpful to promote self-management and rehabilitation of patients,and is worthy of clinical application.