摘要
目的 探讨老年痴呆患者认知功能训练的护理干预模式及其成效。方法 选取2023年5月至2025年1月期间毕节市中医医院诊治的老年痴呆患者80例作为研究对象，按随机数表法将患者分为对照组和观察组，每组40例。对照组采用常规护理，观察组在常规护理基础上实施认知功能训练护理干预。比较两组患者护理干预前后的认知功能（MMSE）、日常生活自理能力（ADL）和精神状态（BEHAVE-AD）。结果 干预后观察组的认知功能（MMSE）评分、日常生活自理能力（ADL）评分均高于对照组，精神状态（BEHAVE-AD）评分低于对照组（P<0.05）。结论 认知功能训练护理干预能有效改善老年痴呆患者的认知功能、增强日常生活自理能力和改善精神状态，值得临床推广。
关键词： 老年痴呆；认知功能训练；护理干预模式；效果评价；日常生活自理能力
Abstract
Objective To explore the nursing intervention mode and its effect of cognitive function training in patients with senile dementia. Methods 80 patients with Alzheimer's disease treated in Bijie traditional Chinese medicine hospital from May 2023 to January 2025 were selected as the research object, and they were randomly divided into control group and observation group, 40 cases in each group. The control group received routine nursing, and the observation group received cognitive function training nursing intervention on the basis of routine nursing. The cognitive function (MMSE), self-care ability of daily living (ADL) and mental state (have-ad) of the two groups were compared before and after nursing intervention. Results after the intervention, the cognitive function (MMSE) score and the ability of daily living (ADL) score of the observation group were higher than those of the control group, and the mental state (BEHAVE-AD) score of the observation group was lower than that of the control group (p<0.05). Conclusion the nursing intervention of cognitive function training can effectively improve the cognitive function of patients with senile dementia, enhance the ability of daily life and improve the mental state, which is worthy of clinical promotion.
Key words： Senile dementia; Cognitive function training; Nursing intervention mode; Effect evaluation; Self care ability in daily life
参考文献 References
[1] 白雪,魏绍辉,黄崔垚,等.基于IKAP的护理干预对老年痴呆家庭照护者照护能力的影响[J].护理研究,2025, 39(9):1536-1542.
[2] 李晓静.生活护理前置式触摸联合标准化手部触摸疗法在老年痴呆病人激越行为控制中的应用[J].全科护理,2021,19(7):927-929.
[3] 陈吉端,黄秋婷,陈莉莉.以目标为基础的针对性护理干预在老年痴呆患者中的应用效果[J].中国实用乡村医生杂志,2023,30(8):62-66.
[4] 张芳芳,杜晔琳.安全护理管理指导下的整体护理模式对老年痴呆患者生活质量及认知功能的影响[J].临床研究,2023,31(3):161-164.
[5] 苏香榕.追踪式干预模式对老年痴呆患者睡眠及日常生活能力的影响[J].世界睡眠医学杂志,2024,11(8):1740-1743.
[6] 陆婕,宋淑芬.多途径延续护理联合同理心干预对阿尔茨海默病患者认知功能的影响[J].老年医学与保健,2024, 30(2):367-373,381.
[7] 张晓兰,闫晓静.延续性护理模式对老年痴呆患者神经精神症状的影响[J].实用临床护理学电子杂志,2024,9(21): 16-19.
[8] 黄拨战,陈小玲,邓桂喜,等.延续性护理对老年痴呆患者的神经精神症状痛苦的潜在影响[J].吉林医学,2020, 41(2):475-476.
[9] 邵小桐,王婧,邵卫,等.阿尔茨海默病患者护理干预研究进展[J].当代护士,2025,32(2):17-22.
[10] 王琼,吴中文,耿丽,等.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.