| 孙亚超,王锦玲.对阿尔茨海默病采用专业护士整体护理的效果评价[J].安徽医药,2019,23(8):1647-1650. |
| 对阿尔茨海默病采用专业护士整体护理的效果评价 |
| Evaluation the effect of the overall care performed by professional nursing care team to patients with Alzheimer's disease |
| 投稿时间：2016-08-24 |
| DOI： |
| 中文关键词: 阿尔茨海默病 整体护理 监护 住院病人 |
| 英文关键词: Alzheimer disease Holistic nursing Custodial care Inpatients |
| 基金项目: |
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| 摘要点击次数: 1791 |
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| 中文摘要: |
| 目的 明确对阿尔茨海默病(AD)病人采用AD专业护理团队方式进行整体护理的效果,探讨AD护理团队护士应具有的素质及培训方法。方法 成立AD护理团队,精选人员并进行严格的培训。将2013年12月至2015年12月在解放军总医院住院的30例AD病人按照入院先后顺序分为研究组和对照组各15例。研究组由AD专业护理团队负责实施整体护理:(1)全面护理评估,(2)个体化的护理方案,(3)灵活开展护理实施,(4)定期评价。对照组只进行一般的整体护理。在入院时和入院第14天,对病人进行神经精神科问卷评分,评价病人在经过护理干预后,精神行为的改变,将两组病人的精神行为情况进行比较分析。结果 经过两种不同模式的护理,研究组病人护理前后精神紊乱行为的改善在焦虑、睡眠/夜间行为、食欲和进食障碍三方面及NPI总分差异有统计学意义(P<0.05)；观察NPI评分及使治疗者苦恼程度改善情况方面,研究组入院后第14天,NPI评分(7.73±2.87)分(P=0.005),使照料者苦恼程度下降差值(6.00±1.96)分(P=0.023),均远远高于对照组。结论 采用专业护理团队的方式对病人进行专业的护理,可以有效减少病人焦虑、睡眠/夜间行为、食欲和进食障碍等精神行为紊乱的频次、程度,可以使病人更好的配合医疗护理工作,提高治疗护理的效果,改善病人的生活质量,在护理过程中,提高了护士的自身素质及专业护理技能,培养了一支护理专业队伍。 |
| 英文摘要: |
| Objective To identify the effect of the overall care performed by Alzheimer disease professional nursing care team (AD nursing care team) and to explore the quality and training approachs which the team should have.Methods 30 patients with AD in Chinese PLA General Hospital from December 2013 to December 2015 were divided into two groups(n=15 for each group):study group and control group.Overall care was performed by AD nursing care team to study group which containing a detailed nursing assessment,individualized care programs,wise nursing care and periodic evaluation.Overall care was performed by none AD nursing care team to the control group.NPI scale scores were obtained on the day of admission and the 14th day after admission respectively for each patient.Results depression,sleep/night behavior and eating disorder among the study group improved significantly than the control group.According to result,the case with study group have a faster dropping than the control group(P<0.05).NPI scores dropped(7.73±2.87)(P=0.005)and the caregiver's distress score dropped(6.00±1.96)(P=0.023).Conclusion After the overall care performed by AD nursing care team,patients with AD can go with medical care better,show less psycho-conduct disorder and improve their quality of life. |
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