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基于混合模型的综合干预对阿尔茨海默病老年患者及其照料者生活质量的影响。

Effects of comprehensive intervention on life quality among the elderly with Alzheimer Disease and their caregivers based on mixed models.

机构信息

Zhejiang Hospital, Hangzhou, China.

Health Communication Institute, Key Laboratory of Public Health Safety, Ministry of Education, Fudan University, Shanghai, China.

出版信息

Nurs Open. 2022 Mar;9(2):1412-1422. doi: 10.1002/nop2.917. Epub 2021 May 14.

Abstract

AIMS

We conducted a multi-sectoral comprehensive intervention for elderly Alzheimer Disease patients and their caregivers to improve their quality of life.

DESIGN

Randomized controlled trial.

METHODS

From June to June in 2019, 150 Alzheimer Disease patients were randomly selected from a nursing home in Zhejiang province of China, they were randomly divided into the intervention group and the control group. And they were given comprehensive and routine interventions respectively for six months. We used mixed models in our analyses to see how outcomes changed over time and how they were affected by the intervention, which could also solve the problems of missing values and data correlation.

RESULTS

After six months, compared with the control group, the communication ability, housework handling ability, self-care ability and life quality of the patients in the intervention group were improved, and the quality of life and caring ability of their caregivers were also significantly improved.

CONCLUSION

The multi-sectoral collaborative care model proposed in this study integrated resources from several departments, effectively improved the quality of life of patients and their caregivers, and provided a way of care services for patients with Alzheimer Disease.

IMPACT

Multi-sectoral comprehensive intervention would improve the life quality of elderly patients with Alzheimer Disease and their caregivers.

摘要

目的

我们对老年阿尔茨海默病患者及其照护者进行多部门综合干预,以提高他们的生活质量。

设计

随机对照试验。

方法

2019 年 6 月至 6 月,我们从中国浙江省的一家养老院中随机选择了 150 名阿尔茨海默病患者,将他们随机分为干预组和对照组。两组分别接受综合常规干预 6 个月。我们使用混合模型进行分析,以了解结果如何随时间变化,以及干预如何影响结果,这也可以解决缺失值和数据相关性的问题。

结果

6 个月后,与对照组相比,干预组患者的沟通能力、家务处理能力、自我护理能力和生活质量得到了改善,其照护者的生活质量和照护能力也得到了显著提高。

结论

本研究提出的多部门协作照护模式整合了多个部门的资源,有效提高了患者及其照护者的生活质量,为阿尔茨海默病患者提供了一种照护服务方式。

影响

多部门综合干预可提高老年阿尔茨海默病患者及其照护者的生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed64/8859043/b4ffa2b0775b/NOP2-9-1412-g001.jpg

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