蒙台梭利训练改善阿尔兹海默病患者异常进食行为的行动研究
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女,本科,主管护师

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江苏省医院协会医院管理创新研究课题(JSYGY-2-2019-237)


An action research on Montessori training to improve abnormal eating behavior of patients with Alzheimer′s disease
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    摘要:

    目的 探讨蒙台梭利训练改善阿尔兹海默病患者异常进食行为的有效性和可行性,建立阿尔兹海默病患者蒙台梭利训练的适宜模式。 方法 选取68例阿尔兹海默病患者为研究对象,所有患者在常规治疗与护理基础上采用行动研究法予以蒙台梭利进食训练,首先明确问题,了解阿尔茨海默病患者进食存在的问题;再采用计划、行动、观察、反思为轴线的行动研究方法进行干预。比较患者干预前后营养状况及异常进食行为改善情况。 结果 干预前后患者自主进食时间、实际进食比例、异常进食行为、营养评分比较,差异有统计学意义(均P<0.01)。 结论 基于行动研究法建立和完善阿尔兹海默病患者蒙台梭利进食训练模式,可改善阿尔兹海默病患者异常进食行为。

    Abstract:

    Objective To explore the effectiveness and feasibility of Montessori training on abnormal eating behavior of patients with Alzheimer′s disease (AD), and to establish a suitable Montessori training model for AD patients. Methods Totally,68 AD patients were selected for the study.All patients were given Montessori feeding training on the basis of routine treatment and nursing care: first, the eating problem of AD patients was identified, then intervention measures were taken by referencing to the methodology (planning, action, observation, reflection) of action research.The nutritional status and abnormal eating behavior of patients before and after intervention were compared. Results After intervention,the AD patients′ autonomous eating time, actual eating proportion, abnormal eating behavior, and nutrition scores saw significant improvement from baseline (P<0.01 for all). Conclusion Establishing and perfecting the Montessori eating training model for AD patients based on the action research method can improve the abnormal eating behavior of patients.

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李晓方,李雪芬,康艳.蒙台梭利训练改善阿尔兹海默病患者异常进食行为的行动研究[J].护理学杂志,2021,36(13):95-98

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  • 收稿日期:2021-01-30
  • 最后修改日期:2021-03-06
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  • 在线发布日期: 2022-12-13