社区综合护理干预在阿尔茨海默病中轻度患者中的应用效果.docVIP

社区综合护理干预在阿尔茨海默病中轻度患者中的应用效果 　　[摘要] 目的 探讨社区综合护理干预在阿尔茨海默病中轻度患者中的应用效果。 方法 选择2013年1月～2014年12月浙江省丽水市第二人民医院收治的阿尔茨海默病中轻度患者46例，按照随机数字表法分成观察组与对照组，各23例。观察组出院后实施48周的社区综合护理干预措施，对照组给予常规出院护理。观察两组护理前后痴呆程度、精神状态、智能等变化情况。 结果 观察组护理后CDR评分较护理前显著降低（P 0.05），且明显低于同期对照组（P 0.05）；观察组与对照组护理后PANSS总评分较护理前均明显下降（P 0.05），且观察组较对照组下降更显著（P 0.05）；观察组患者护理后MRSS总评分较护理前明显下降（P 0.05），而对照组护理后MRSS总评分较护理前明显升高（P 0.05），观察组护理后MRSS总评分明显低于对照组（P 0.05）；观察组护理后MMSE评分较护理前显著升高（P 0.05），且明显高于同期对照组（P 0.05）；观察组患者护理后生存质量各项目评分较护理前明显提高（P 0.05），且明显高于对照组护理后各项目评分（P 0.05）。 结论 对阿尔茨海默病中轻度患者实施社区综合护理干预，有利于近期改善患者的痴呆程度以及精神症状，并且有利于提高患者的智能以及整体状态，对控制病情、延缓疾病进展具有重要作用。 　　[关键词] 阿尔茨海默病；社区综合护理干预；精神症状 　　[中图分类号] R473 [文献标识码] A [文章编号] 1674-4721（2016）10（a）-0163-05 　　Application effect of community nursing intervention for patients with Alzheimer′s disease of mild or moderate degree 　　HU Huiying WU Shaochang▲ 　　The Second People′s Hospital of Lishui City， Zhejiang Province， Lishui 323000， China 　　[Abstract] Objective To explore the application effect of community nursing intervention for patients with Alzheimers disease of mild or moderate degree. Methods 46 cases of patients with Alzheimers disease of mild or moderate degree treated in the Second People′s Hospital of Lishui City from January 2013 to December 2014 were selected. According to random number table， the patients were divided into the observation group and the control group， each group had 23 cases. Patients in the observation group were given community nursing intervention for 48 weeks after discharge， and patients in the observation group were given common discharge nursing. The changes of dementia degree， mental state， intelligence before and after nursing were observed. Results After nursing the CDR score of the observation group reduced significantly than before nursing （P 　　[Key words] Alzheimers disease； Community comprehensive nursing intervention； Mental symptoms 　　阿尔茨海默病（Alzheimer disease，AD）是一种神经系统呈进展性、退行性改变，以认知功能障碍以及精神病性障碍为主要特征的脑神经系统疾病。AD发病具有隐匿性，而发病原因至今尚未得