临床护理路径下营养支持对老年阿尔茨海默病患者疗效、生活质量及营养状况的作用
Role of Nutritional Support under Clinical Nursing Path on the Efficacy, Quality of Life, and Nutritional Status of Elderly Patients with Alzheimer's Disease.
作者信息
Wu Haiyan, Wen Ya, Guo Saijin
机构信息
YongZhou Vocational Technical College, Yongzhou, Hunan Province, China.
Emergency Department, Beijing Friendship Hospital Affiliated to Capital Medical University, Beijing, China.
出版信息
Evid Based Complement Alternat Med. 2022 Apr 28;2022:9712330. doi: 10.1155/2022/9712330. eCollection 2022.
OBJECTIVE
To study the effect of nutritional support under the clinical nursing path on the nursing effect, quality of life, and nutritional status of elderly patients with Alzheimer's disease.
METHODS
110 elderly patients with Alzheimer's disease admitted to our hospital from February 2018 to October 2019 were randomly selected and assigned at a ratio of 1 : 1 via random draw to receive either routine nursing (control group) or nutritional support under the clinical nursing path (experimental group). Outcome measures included nursing efficiency, quality of life index (QLI) score, Pittsburgh sleep quality index (PSQI) score, Mental Status Scale in Non-psychiatric Settings (MSSNS) score, social disability screening schedule (SDSS) cognitive function score, and Mini Nutritional Assessment (MNA).
RESULTS
Nutritional support under the clinical nursing path was associated with significantly higher nursing efficiency and quality of life scores versus routine nursing ( < 0.05). Nutritional support under the clinical nursing path resulted in significantly lower PSQI, MSSNS, and SDSS scores, and fewer malnourished cases versus routine nursing ( < 0.05).
CONCLUSION
Nutritional support under the clinical nursing pathway can significantly improve the quality of life, cognitive function, psychological status, and nutritional status of elderly patients with Alzheimer's disease, and has high application value.
目的
探讨临床护理路径下营养支持对老年阿尔茨海默病患者护理效果、生活质量及营养状况的影响。
方法
选取2018年2月至2019年10月我院收治的110例老年阿尔茨海默病患者，通过随机抽签按1∶1比例分为两组，分别给予常规护理（对照组）和临床护理路径下的营养支持（试验组）。观察指标包括护理效率、生活质量指数（QLI）评分、匹兹堡睡眠质量指数（PSQI）评分、非精神科环境下精神状态量表（MSSNS）评分、社会功能缺陷筛选量表（SDSS）认知功能评分及微型营养评定法（MNA）。
结果
与常规护理相比，临床护理路径下的营养支持护理效率及生活质量评分显著更高（<0.05）。与常规护理相比，临床护理路径下的营养支持PSQI、MSSNS及SDSS评分显著更低，营养不良病例更少（<0.05）。
结论
临床护理路径下的营养支持可显著改善老年阿尔茨海默病患者的生活质量、认知功能、心理状态及营养状况，具有较高的应用价值。
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