心理护理干预在阿尔茨海默病患者认知功能测评中的应用效果

Application Effect of Psychological Nursing Interventions in Cognitive Function Assessment of Patients with Alzheimer's Disease

目的:探讨心理护理干预在阿尔茨海默病患者认知功能测评中的应用效果。方法:选取2022年4-10月于广东省中山市中医院门诊进行认知功能测评的阿尔茨海默病患者64例为观察对象,按随机数字表法分为观察组与对照组,各32例。对照组给予日常护理干预,观察组在日常护理基础上给予心理护理干预,比较两组患者认知功能[蒙特利尔认知测评量表(MOCA)]、精神状态[简易精神状态量表(MMSE)]、心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、护理满意度。结果:干预后,两组患者MMSE和MOCA评分均升高,观察组高于对照组,差异有统计学意义(P<0.05);干预后,两组患者SAS、SDS评分均降低,且观察组低于对照组,差异有统计学意义(P<0.05);观察组患者护理满意度高于对照组,差异有统计学意义(P<0.05)。结论:心理护理干预应用在阿尔茨海默病患者认知功能测评中,可提高患者认知功能、精神状态水平,改善患者心理状态,患者护理满意度较高。

Objective:To explore the application effect of psychological nursing intervention in cognitive function assessment of patients with Alzheimer's disease.Methods:Sixty-four patients with Alzheimer's disease who underwent cognitive function assessment in the outpatient clinic of Zhongshan Hospital of Traditional Chinese Medicine in Guangdong Province from April to October 2022 were selected as observation subjects.The patients were divided into observation group and control group by random number table method,with thirty-two cases in each group.The control group was given daily nursing intervention,and the observation group was given psychological nursing intervention on the basis of daily nursing.The cognitive function[Montreal Cognitive Assessment(MOCA)scale],mental status[Mini-Mental State Examination(MMSE)scale],psychological status[Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS)],and nursing satisfaction were compared between the two groups.Results:After the intervention,the MMSE and MOCA scores increased in both groups,and the observation group was higher than the control group,with statistically significant differences(P<0.05).After the intervention,SAS and SDS scores decreased in both groups,and the observation group was lower than the control group,and the difference was statistically significant(P<0.05).Patient satisfaction with nursing in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Psychological nursing interventions applied in the cognitive function assessment of patients with Alzheimer's disease can improve the level of cognitive function and mental status of patients,and improve their psychological state,and patients'nursing satisfaction is higher.