杨雅杰 赖燕 张琦

【摘要】 目的：探讨认知干预护理在阿尔茨海默病患者中的应用。方法：选择2017年5月-2019年5月本院收治的阿尔茨海默病患者100例，根据盲抽法将其分为观察组和对照组，各50例。在药物治疗基础上，对照组应用常规护理干预，观察组在常规护理基础上应用认知干预护理。比较两组干预前后的生存质量、认知功能与运动功能评分，并比较两组干预后的生活自理能力。结果：干预后，两组躯体领域、心理领域、社会领域、环境领域及综合领域评分均高于干预前，且观察组的上述各领域评分均高于对照组，差异均有统计学意义（P<0.05）。干预后，两组认知功能与运动功能评分均高于干预前，且观察组均高于对照组，差异均有统计学意义（P<0.05）。干预后，观察组的生活自理能力优于对照组，差异有統计学意义（P<0.05）。结论：认知干预护理应用于阿尔茨海默病患者护理中，有利于提高其生存质量、生活自理能力、认知功能以及运动功能，促使患者获益。

【关键词】 阿尔茨海默病 认知干预护理 生存质量 认知功能 运动功能 生活自理能力

Application of Cognitive Intervention Nursing in Patients with Alzheimers Disease/YANG Yajie， LAI Yan， ZHANG Qi. //Medical Innovation of China， 2020， 17（11）： 0-094

[Abstract] Objective： To explore the application of cognitive intervention nursing in alzheimers disease patients. Method： A total of 100 patients with alzheimers disease admitted to our hospital from May 2017 to May 2019 were selected. They were divided into observation group and control group according to the blind pumping method， 50 cases in each group. On the basis of medication， the control group received routine nursing intervention， the observation group applied cognitive intervention nursing on the basis of routine nursing. Quality of life， cognitive function and motor function scores before and after intervention were compared between the two groups， and he self-care ability after intervention was compared between the two groups. Result： After the intervention， the scores of soma， psychological， social， environmental and comprehensive fields of the two groups were all higher than those before the intervention， moreover， the scores of the above fields in the observation group were all higher than those in the control group， the differences were statistically significant （P<0.05）. After the intervention， the scores of cognitive function and motor function in both groups were higher than those before the intervention， and the observation group were higher than those in the control group， the differences were statistically significant （P<0.05）. After the intervention， the observation group had better self-care ability than that of the control group， the difference was statistically significant （P<0.05）. Conclusion： The application of cognitive intervention nursing in the nursing of alzheimers disease patients is conducive to improving their quality of life， self-care ability， cognitive function and motor function， and promoting the benefit of patients.

[Key words] Alzheimers disease Cognitive intervention nursing Quality of life Cognitive function Motor function Self-care ability

First-authors address： Ganzhou Third Peoples Hospital， Ganzhou 341000， China

doi：10.3969/j.issn.1674-4985.2020.11.022

阿尔茨海默病是一种常见的神经系统退行性疾病，多发于老年及老年前期，其发病率高，起病隐匿，发展缓慢[1]。阿尔茨海默病可由免疫系统疾病、头部外伤、遗传、癫痫等多种因素引起，常见临床症状包括视力下降、记忆减退、判断力下降、日常生活自理能力下降等全面性痴呆表现，在影响患者身心健康的同时，对患者日常生活造成影响，给患者家庭及社会带来较大负担[2-3]。目前，阿尔茨海默病尚无高疗效治疗药物，其非药物治療逐渐受到关注[4]。基于此，本研究分析认知干预护理对阿尔茨海默病患者的应用效果。现报道如下。

1 资料与方法

1.1 一般资料 选择2017年5月-2019年5月本院收治的阿尔茨海默病患者100例，（1）纳入标准：①均符合《中国痴呆与认知障……