老年痴呆患者基于精神运动康复学理论的干预
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女,本科,主管护师

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华中科技大学同济医学院附属协和医院2020年度医护技专项基金资助项目(F016.02004.20001.081)


Intervention based on psychomotor rehabilitation theory for senile dementia patients
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    摘要:

    目的 探讨基于精神运动康复学理论的干预对老年痴呆患者认知、生活自理能力及抑郁的影响。 方法 将44例老年痴呆患者按时间段分为观察组21例和对照组23例,两组患者均接受常规护理,观察组在此基础上进行为期24周的基于精神运动康复学理论的干预,包括多元运动计划、多感官刺激疗法、改善生理障碍和改善心理障碍4个方面。分别在干预前、干预后采用简易智能状态量表(MMSE)、Barthel指数和康奈尔痴呆抑郁量表(CSDD)进行效果评价。 结果 干预后,观察组MMSE的记忆力、回忆能力、语言及视空间能力得分和Barthel指数得分显著高于对照组,抑郁得分显著低于对照组(P<0.05,P<0.01)。 结论 基于精神运动康复学理论的干预有助于改善老年痴呆患者部分认知功能和日常生活活动能力,减轻抑郁症状。

    Abstract:

    Objective To investigate the effects of psychomotor rehabilitation theory based intervention on senile dementia patients. Methods Forty-four patients with senile dementia were divided into an observation group (n=21) and a control group (n=23).Both groups received routine nursing care.On this basis, the observation group was given psychomotor rehabilitation theory based intervention for 24 weeks, including a multi-sport plan, multi-sensory stimulation therapy, and efforts aiming to improve physiological and psychological disorders. Before and after the intervention, the effects were evaluated by using the Mini-Mental State Examination (MMSE), the Barthel Index(BI) and the Cornell Scale for Depression in Dementia (CSDD). Results After intervention, MMSE scores of memory, recall, language and visual spatial skills and BI scores in the observation group were significantly higher than those in the control group, while the CSDD scores of the observation group were significantly lower than those of the control group (P<0.05,P<0.01). Conclusion Psychomotor rehabilitation theory based intervention can improve part of the cognitive function and ADL of senile dementia patients, and alleviate their depressive symptoms.

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王琼,吴中文,耿丽,胡莉萍,肖甜,肖珊.老年痴呆患者基于精神运动康复学理论的干预[J].护理学杂志,2021,36(3):1-4

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  • 收稿日期:2020-07-20
  • 最后修改日期:2020-09-30
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  • 在线发布日期: 2022-09-18