曾小雁 杨文琼 马明丽 穆斌 孙久艳

【摘 要】目的：分析医养结合模式在提高住院无陪护老年痴呆患者生活质量中的应用效果。方法：选取2020年6月至2021年5月期间科室收治的无陪护住院老年痴呆患者78例，以随机法分为观察组（n=39）和对照组（n=39）。对照组患者给予常规护理和生活照护，观察组患者则实施医养结合模式治疗及照护干预。结果：两组患者护理前的心理、生理、环境、社会等生活质量评分，均无明显差异（P>0.05）；但护理8周后，观察组患者的心理、生理、环境、社会等生活质量评分，较对照组均明显更高（P<0.05），组间差异有统计学意义。结论：医养结合模式的开展，能够显著提升无陪护住院老年痴呆患者的生活质量，具有较高的社会实践推广价值。

【关键词】医养结合模式；无陪护；老年痴呆；生活质量

The effect of integrated medical care model on improving the quality of life of hospitalized patients with unaccompanied senile dementia in advanced stage

Zeng Xiaoyan1 Yang Wenqiong2（Corresponding Author） Ma Mingli2 Mu bin2 Sun Jiuyan2

Sinopharm Dongfeng General Hospital Affiliated to Hubei Medical College，Shiyan， Hubei，442008，China

【Abstract】Objective：Analyze the application effect of the integrated medical care model in improving the quality of life of hospitalized patients with unaccompanied dementia. Methods： A total of 78 unaccompanied inpatient dementia patients admitted to the department from June 2020 to May 2021 were selected and randomly divided into observation group （n=39） and control group （n=39）.Patients in the control group were given routine care and life care， while patients in the observation group were treated with integrated medical care and nursing intervention. Results： There was no significant difference in the psychological， physiological， environmental， and social quality of life scores of the two groups of patients before nursing（P>0.05）； but after 8 weeks of nursing， the observation group patients’ psychological， physical， environmental， and social quality of life scores ， Were significantly higher than those in the control group， and the difference between the groups was statistically significant at（P<0.05）. Conclusion： The development of the medical-care integration model can significantly improve the quality of life of unaccompanied hospitalized patients with senile dementia， and has a high social practice promotion value.

【Key？Words】Medical-care integration model；Unaccompanied； Senile dementia；Quality of life

老年癡呆是老年人的常见病，属于一种慢性进行性精神衰退性疾病。老年痴呆会引起老年人记忆力减退、记忆障碍、语言功能障碍、失语、计算能力下降，人格和行为变化等症状，对老年人的健康和晚年生活质量，均具有严重的危害[1]。当前，我国具有相当数量的老年痴呆患者，这类患者由于认知功能障碍、生活自理能力较差，导致其成为了社会关注的一个重点群体，尤其是对于无陪护住院老年痴呆患者，如何提升其日常照护质量，提升其晚年生活质量，就成为了当前广泛关注的一个问题。

医养结合模式的应用为解决这一问题，提供了一条有效的途径。本文就对医养结合模式在提高住院无陪护老年痴呆患者生活质量中的应用效果进行了分析。……