生活质量与阿尔茨海默病：参与康复中心的影响
Quality of life and Alzheimer's disease: Influence of participation in a rehabilitation center.
作者信息
Machado Fernanda, Nunes Paula V, Viola Luciane F, Santos Franklin S, Forlenza Orestes V, Yassuda Mônica S
机构信息
B.S., Gerontology, Day Hospital Rehabilitation Center (CRHD), Department and Institute of Psychiatry (IPq), Faculty of Medicine (FMUSP), University of São Paulo, São Paulo, SP, Brazil.
M.D., PhD in Psychiatry, University of São Paulo, São Paulo, SP, Brazil.
出版信息
Dement Neuropsychol. 2009 Jul-Sep;3(3):241-247. doi: 10.1590/S1980-57642009DN30300011.
UNLABELLED
Quality of life is seldom explored in evaluations of therapeutic interventions in Alzheimer's disease.
OBJECTIVE
To verify whether participation in a cognitive and functional rehabilitation program improves quality of life (QOL) among Alzheimer's disease (AD) patients.
METHODS
19 AD patients participated in this study, 12 of whom attended 24 multi-professional intervention sessions - the experimental group - whereas the remaining 7 comprised the control group. The following tools were used to assess changes: a) Mini-Mental State Examination (MMSE); b) Geriatric Depression Scale (GDS); c) Quality of Life in AD evaluation scale (QOL-AD); d) Open question on QOL.
RESULTS
Participation had no positive impact on quantitative clinical variables (MMSE, GDS, QOL-AD). The answers to the open question, examined using the Collective Subject Discourse (CSD) method, suggested that QOL improved after the intervention.
CONCLUSION
Combining pharmacological treatment with psychosocial intervention may prove to be an effective strategy to enhance the QOL of AD patients.
未标注
在阿尔茨海默病治疗干预评估中，很少探讨生活质量。
目的
验证参与认知和功能康复项目是否能改善阿尔茨海默病（AD）患者的生活质量（QOL）。
方法
19名AD患者参与本研究，其中12人参加了24次多专业干预课程——实验组，其余7人组成对照组。使用以下工具评估变化：a）简易精神状态检查表（MMSE）；b）老年抑郁量表（GDS）；c）AD生活质量评估量表（QOL-AD）；d）关于生活质量的开放性问题。
结果
参与对定量临床变量（MMSE、GDS、QOL-AD）没有积极影响。使用集体主体话语（CSD）方法对开放性问题的回答表明，干预后生活质量有所改善。
结论
将药物治疗与心理社会干预相结合可能是提高AD患者生活质量的有效策略。
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