Zheng Yuan, Xu Xiaoyan, Zheng Birong
Xi'an Health School, Xi'an, Shaanxi 710054, China.
Department of General Practice, Jiangdong Branch of Zhuji People's Hospital, Zhuji, Zhejiang 311800, China.
Evid Based Complement Alternat Med. 2021 Oct 12;2021:2839142. doi: 10.1155/2021/2839142. eCollection 2021.
To explore the influence of systematic nursing intervention on the life ability and quality of senile dementia patients.
Total of 82 senile dementia patients who were admitted to our hospital from January 2018 to January 2020 were divided into two groups according to the random number table, and the nursing intervention was analyzed. 41 patients in the control group were given routine nursing care, and 41 patients in the observation group were given systematic nursing intervention. Patients were assessed cognitively using the Montreal Cognitive Assessment Scale (MoCA). The Barthel index and SF-36 were used to evaluate the patients' daily activity function and quality of life. A Symptom Checklist-90-Revised (SCL-90-R) was used to assess mental distress. The Social-Adaptive Function Rating Scale (SAFE) and Social Skills Inventory (SSC) were used to evaluate the patients' social interaction ability before and after nursing intervention. Nursing satisfaction was distributed to patients in the form of a self-prepared nursing satisfaction questionnaire for scoring.
After the nursing intervention, the MoCA scores of patients in the two groups were higher than those before the nursing intervention, and the scores in the observation group were higher than those in the control group ( < 0.05). After the nursing intervention, the Barthel index scores of patients in the two groups were higher than those before the nursing intervention, and the scores in the observation group were higher than those in the control group ( < 0.05). After the nursing intervention, the SF-36 scores of patients in the two groups were higher than those before the nursing intervention, and the scores in the observation group were higher than those in the control group ( < 0.05). After nursing intervention, the SCL-90-R scores of patients in the two groups were lower than those before nursing intervention, and the scores in the observation group were lower than those in the control group ( < 0.05). After the nursing intervention, the SAFE scores of patients in the two groups were lower than those before the nursing intervention, and the safe scores of the observation group were lower than those of the control group ( < 0.05). After the nursing intervention, the SSC scores of patients in the two groups were lower than those before the nursing intervention, and the scores in the observation group were lower than those in the control group ( < 0.05). After nursing intervention, the total satisfaction degree of the control group (80.49%) was lower than that of the observation group (97.56%) ( < 0.05).
The implementation of systematic nursing intervention is conducive to improve the cognitive function, activity of life, and quality of life of senile dementia patients who have a positive effect, and nursing satisfaction is higher.
探讨系统护理干预对老年痴呆患者生活能力及生活质量的影响。
选取2018年1月至2020年1月我院收治的82例老年痴呆患者，根据随机数字表法分为两组，分析护理干预情况。对照组41例患者给予常规护理，观察组41例患者给予系统护理干预。采用蒙特利尔认知评估量表（MoCA）对患者进行认知评估。采用Barthel指数和SF-36评估患者的日常活动功能及生活质量。采用症状自评量表（SCL-90-R）评估心理 distress。采用社会适应功能评定量表（SAFE）和社交技能量表（SSC）评估护理干预前后患者的社交互动能力。采用自制护理满意度问卷对患者进行护理满意度评分。
护理干预后，两组患者的MoCA评分均高于护理干预前，且观察组评分高于对照组（P<0.05）。护理干预后，两组患者的Barthel指数评分均高于护理干预前，且观察组评分高于对照组（P<0.05）。护理干预后，两组患者的SF-36评分均高于护理干预前，且观察组评分高于对照组（P<0.05）。护理干预后，两组患者的SCL-90-R评分均低于护理干预前，且观察组评分低于对照组（P<0.05）。护理干预后，两组患者的SAFE评分均低于护理干预前，且观察组的SAFE评分低于对照组（P<0.05）。护理干预后，两组患者的SSC评分均低于护理干预前，且观察组评分低于对照组（P<0.05）。护理干预后，对照组的总满意度（80.49%）低于观察组（97.56%）（P<0.05）。
实施系统护理干预有利于提高老年痴呆患者的认知功能、生活活动能力及生活质量，具有积极作用，且护理满意度较高。
