余玕 肖丽

【摘要】 目的：探讨益智游戏模式在老年痴呆患者护理中的应用效果。方法：选择2017年4月-2019年4月笔者所在医院收治的老年痴呆患者100例，按照随机数表法将其分为两组，各50例。其中对照组患者接受常规护理干预，观察组患者接受益智游戏模式护理干预。对比两组生活质量得分、简易精神状态评价量表（MMSE）得分、康奈尔痴呆抑郁量表（CSDD）得分、日常生活自理能力评定表（ADL）得分。结果：观察组干预后心理健康、躯体健康、社会功能、物质生活及总分均高于对照组，差异均有统计学意义（P<0.05）;干预后两组MMSE评分均高于干预前，CSDD、ADL评分均低于干预前，且观察组各项得分均优于对照组，差异均有统计学意义（P<0.05）。结论：将益智游戏模式应用于老年痴呆患者护理中能够提高患者的生活质量及日常生活能力，降低抑郁程度，值得推广。

【关键词】 老年痴呆 益智游戏 认知功能

doi：10.14033/j.cnki.cfmr.2020.19.039 文獻标识码 B 文章编号 1674-6805（2020）19-00-03

Application Effect of Puzzle Game Mode in Nursing of Alzheimers Patients/YU Gan， XIAO Li. //Chinese and Foreign Medical Research， 2020， 18（19）： -99

[Abstract] Objective： To explore the effect of puzzle game in nursing care of Alzheimers patients. Method： From April 2017 to April 2019， 100 Alzheimers patients were treated in our hospital， which were divided into two groups according to the random number table method， 50 cases in each. Among them， the patients in the control group received routine nursing intervention， and the patients in the observation group received the nursing intervention of puzzle game mode. The quality of life scores， simple mental state assessment scale （MMSE） scores， connell dementia depression scale （CSDD） scores， and daily life self-care ability assessment scale （ADL） scores were compared between the two groups. Result： After intervention， the scores of mental health， physical health， social function， material life and total score in the observation group were all higher than those in the control group， the differences were statistically significant （P<0.05）. After intervention， the MMSE scores of both groups were higher than those before intervention， the CSDD and ADL scores were lower than those before intervention， and all scores in the observation group were better than those in the control group， the differences were statistically significant （P<0.05）. Conclusion： The application of puzzle game mode in nursing care of Alzheimers patients can improve the quality of life and daily life ability and reduce the degree of depression， which is worth popularizing.

[Key words] Alzheimers Puzzle game Cognitive function

First-authors address： Tianyou Hospital Affiliated to Wuhan University of Science and Technology， Wuhan 430000， China

老年痴呆又称阿尔茨海默病（AD），其是指在老年及老年前期的中枢神经退行性病变，该病在第一阶段（1～3年）会造成患者记忆力减退、判断能力下降，第二阶段（2～10年）患者则会出现远近记忆受损、失语、失认等，而到了第三阶段（8～12年）则会导致患者记忆丧失，日常生活无法自理，甚至出现大小便失禁等，严重影响患者的正常生活质量[1-2]。目前，针对该病的药物治疗效果欠佳，多采用护理干预延缓患者的症状及疾病的进展[3]。鉴于此，本探究选择2017年4月-2019年4月笔者所在医院收治的老年痴呆患者100例，探讨益智游戏模式在老年痴呆患者护理中的应用效果，现报道如下。

1 资料与方法

1.1 一般资料

选择2017年4月-2019年4月笔者所在医院收治的老年痴呆患者100例。纳入标准：均符合《中国精神障碍分类与诊断标准第三版（精神障碍分类）》中相关诊断标准[4];均经临床诊断为轻中度老年痴呆。……