石雪

[摘要]目的 分析預见性护理程序在尼莫地平联合盐酸多奈哌齐治疗老年痴呆（AD）患者中的应用效果。方法 选取2018年1月～2019年1月我院收治的80例AD患者作为研究对象，按照奇偶数分组模式将其分成对照组（n=40）和研究组（n=40）。两组均采用尼莫地平联合盐酸多奈哌齐治疗，治疗期间，对照组采取常规护理干预，而研究组则采取预见性护理程序干预，比较两组护理后生活质量改善情况、并发症发生情况及护理工作满意度。结果 研究组4项生活质量评分均高于对照组，差异有统计学意义（P<0.05）。研究组并发症总发生率低于对照组，差异有统计学意义（P<0.05）。研究组护理总满意度高于对照组，差异有统计学意义（P<0.05）。结论 将预见性护理程序用于AD患者护理有显著效果，能有效降低并发症发生率，提高患者生活质量和护理工作满意度，值得临床研究和推广。

[关键词]老年痴呆;预见性护理程序;生活质量;并发症发生率;护理满意度

[中图分类号] R473.5          [文献标识码] A          [文章编号] 1674-4721（2020）7（b）-0241-04

Application effect of predictive nursing procedure in elderly patients with dementia treated by Nimodipine combined with Donepezil Hydrochloride

SHI Xue

Department of Neurology， Shenyang First People′s Hospital， Liaoning Province， Shenyang   110041， China

[Abstract] Objective To analyze the application effect of predictive nursing procedure in elderly patients with dementia （AD） treated by Nimodipine combined with Donepezil Hydrochloride. Methods A total of 80 patients with AD treated in our hospital from January 2018 to January 2019 were selected as study subjects. They were divided into control group （n=40） and study group （n=40） according to the even-odd method. Both groups were treated with Nimodipine combined with Donepezil Hydrochloride. During the treatment period， patients in the control group received routine nursing intervention， while in the study group， they received predictive nursing procedure intervention. The improvement of quality of life， occurrence of complications， and patient′s satisfaction on nursing work were compared in the two groups. Results The four quality of life scores in the study group were higher than those in the control group， and the differences were statistically significant （P<0.05）. The total incidence of complications in the study group was lower than that in the control group， and the difference was statistically significant （P<0.05）. The total satisfaction of nursing in the study group was  higher than that in the control group， with statistical difference （P<0.05）. Conclusion The application of predictive nursing procedure in the nursing of elderly patients with AD has significant effect. It can effectively reduce the incidence of complications， and improve the quality of life and patient′s satisfaction on nursing. Therefore， it is worthy of clinical research and promotion.

[Key words] Elderly dementia; Predictive nursing procedure; Quality of life; Incidence of complications; Nursing satisfaction

老年痴呆（AD）的发病机制尚不清楚，研究认为主要与头部伤害、教育程度、心理因素、性别及母育龄不当等因素有关[1]。患者在临床多表現为失语、失认、人格变化、视空间技能退化、执行力差、记忆力障碍及记忆偏差等症状[2]。AD初期症状不明显，而就诊时多已发展到中、重程度，具有不可逆性，严重影响患者的日常生活，因此需要对患者实施有效护理干预，以改善其生存质量有重要临床意义[3]。预见性护理程序主要是以症状护理为基础，并结合老年患者病情为其提前制定和实施护理方法，以减少并发症，提升治疗效果[4]。近些年来预见性护理程序用于AD护理已被临床证实有良好的效果[5]。本研究纳入我院收治的80例AD患者为研究对象，分析预见性护理程序的临床应用效果，现报道如下。……