Zhang Xiaoqing, He Yequn, Li Haifang, Li Peiyi
Department of Rheumatology and Geriatrics, The First Hospital of Fuyang Hangzhou Hangzhou 311400, Zhejiang, China.
Am J Transl Res. 2025 May 15;17(5):3445-3453. doi: 10.62347/HOTG2720. eCollection 2025.
To investigate the effects of comprehensive nursing interventions on psychological well-being and rehabilitation treatment adherence in patients with dementia.
A retrospective analysis was conducted on 90 dementia patients treated at the First Hospital of Fuyang Hangzhou. Patients were divided into an observation group (n=45) and a control group (n=45). The control group received standard nursing care, while the observation group received comprehensive nursing interventions. Key outcomes included negative emotions, treatment adherence, quality of life, sleep quality, caregiver emotional well-being, and caregiver satisfaction.
The observation group had significantly lower Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) scores than the control group (both P<0.001). Treatment adherence, including disease awareness, medication compliance, and nutritional support, was significantly higher in the observation group (all P<0.05). The observation group showed better quality of lifeand lower Pittsburgh Sleep Quality Index (PSQI) scores (all P<0.001). Caregivers in the observation group reported higher satisfaction, with significantly lower SAS and SDS scores (all P<0.05). Mini-Mental State Examination (MMSE) scores were also higher in the observation group post-intervention (P<0.05). Additionally, the observation group had a better prognosis with fewer complications (P<0.05).
Comprehensive nursing interventions significantly improve psychological well-being, treatment adherence, cognitive function, and overall quality of life for dementia patients. They also reduce anxiety, depression, and complications, and improve caregiver satisfaction. These findings support the benefits of comprehensive nursing interventions.
探讨综合护理干预对痴呆患者心理健康及康复治疗依从性的影响。
对杭州市富阳第一医院收治的90例痴呆患者进行回顾性分析。将患者分为观察组（n = 45）和对照组（n = 45）。对照组接受标准护理，观察组接受综合护理干预。主要观察指标包括负面情绪、治疗依从性、生活质量、睡眠质量、照顾者情绪健康及照顾者满意度。
观察组的焦虑自评量表（SAS）和抑郁自评量表（SDS）得分显著低于对照组（均P < 0.001）。观察组在疾病认知、药物依从性和营养支持等方面的治疗依从性显著更高（均P < 0.05）。观察组的生活质量更好，匹兹堡睡眠质量指数（PSQI）得分更低（均P < 0.001）。观察组照顾者的满意度更高，SAS和SDS得分显著更低（均P < 0.05）。干预后观察组的简易精神状态检查表（MMSE）得分也更高（P < 0.05）。此外，观察组预后更好，并发症更少（P < 0.05）。
综合护理干预可显著改善痴呆患者的心理健康、治疗依从性、认知功能和整体生活质量。还可减轻焦虑、抑郁和并发症，提高照顾者满意度。这些结果支持综合护理干预的益处。
