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3R强化护理在老年精神病患者中的应用效果 被引量:3

Application effect of 3R intensive nursing in elderly patients with psychosis
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摘要 目的分析医护家属多方配合的3R(往事记忆提取、记忆空间定位和记忆再激发)强化护理在老年精神病患者中的应用效果。方法选取80例老年精神病患者为研究对象,随机分为对照组40例和观察组40例。对照组给予常规护理模式;观察组在对照组基础上给予基于医护家属多方配合的3R强化护理。比较干预前后2组患者认知功能、精神状态、自我管理能力和生活质量。结果干预后,2组简易智力状态检查量表(MMSE)、韦氏记忆量表评分及自我管理能力评分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05或P<0.01)。干预后,2组精神状态评分(阴性、阳性及一般精神病理症状)、生活质量评分(心理、症状/副反应和动机/精力)低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05或P<0.01)。结论医护家属多方配合的3R强化护理可有效提高老年精神病患者认知功能、自我管理能力和生活质量,并改善精神状态。 Objective To analyze the effect of 3R(reminiscence,reality and remotivation)intensive nursing with the multi-cooperation of medical and family members in elderly patients with psychosis.Methods A total of 80 elderly patients with psychosis were selected as research objects and randomly divided into control group(40 cases)and observation group(40 cases).The control group was given routine nursing mode,while the observation group was given 3R intensive nursing based on multi-cooperation of medical and family members on the basis of the control group.Cognitive function,mental state,self-management ability and quality of life were compared between the two groups before and after intervention.Results After intervention,the scores of Mini-Mental State Examination(MMSE),Wechsler Memory Scale and self-management ability scores in two groups were significantly higher than before intervention,and the observation group was significantly higher than the control group(P<0.05 or P<0.01).After intervention,mental status scores(negative,positive and general psychopathological symptoms)and quality of life scores(psychological,symptom/side reaction and motivation/energy)in two groups were significantly lower than before intervention,and the observation group was significantly lower than the control group(P<0.05 or P<0.01).Conclusion 3R intensive nursing with the multi-cooperation of medical and family members can effectively improve cognitive function,self-management ability and quality of life of elderly patients with psychosis,and improve their mental state.
作者 张雷萍 赵勇 何琴 ZHANG Leiping;ZHAO Yong;HE Qin(the Second Ward,the Sixth People′s Hospital of Anqing in Anhui Province,Anqing,Anhui,246001)
出处 《实用临床医药杂志》 CAS 2023年第8期76-79,共4页 Journal of Clinical Medicine in Practice
关键词 3R强化护理 精神病 认知功能 自我管理能力 3R intensive nursing psychosis cognitive function self-management ability
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