CAJ | 학술논문

目的通过神经心理学指标评定,系统评价Reminiscence(往事回忆),Reality Orientation(现实定向)和Remotivation(再激发)的3R护理疗法对改善阿尔茨海默病患者生活质量的效果.方法本研究采用实验型研究设计,选取阿尔茨海默病患者34例,进行神经心理学指标(MMSE、ADL、FAQ、NPI)的基线评定,然后随机分组,对照组给予常规治疗,治疗组在常规治疗基础上采用3R疗法进行认知功能训练.在开始实施训练后的第3个月、第6个月时,分别对试验组和对照组的患者进行各项指标的评定与分析.结果 (1)3R治疗组6个月的ADL评分(31.02±2.01),较基线值(37.41±4.24)明显下降,提示生活能力显著提高(P＜ 0.01);(2)3R治疗组治疗后FAQ评分(15.12±1.09)较治疗前(15.99±2.35)减低,提示治疗后社会活动能力提高(P＜ 0.05); (3)3R治疗组治疗后NPI评分(10.11±2.03)较治疗前(13.5±1.14)下降,表明行为过激发生率降低(P＜0.01).结论 3R治疗能有效提高阿尔茨海默病患者生活自理能力、社会活动能力,改善患者及照料者生活质量.
목적 통과신경심이학지표평정,계통평개Reminiscence(왕사회억),Reality Orientation(현실정향)화Remotivation(재격발)적3R호리요법대개선아이자해묵병환자생활질량적효과.방법 본연구채용실험형연구설계,선취아이자해묵병환자34례,진행신경심이학지표(MMSE、ADL、FAQ、NPI)적기선평정,연후수궤분조,대조조급여상규치료,치료조재상규치료기출상채용3R요법진행인지공능훈련.재개시실시훈련후적제3개월、제6개월시,분별대시험조화대조조적환자진행각항지표적평정여분석.결과 (1)3R치료조6개월적ADL평분(31.02±2.01),교기선치(37.41±4.24)명현하강,제시생활능력현저제고(P＜ 0.01);(2)3R치료조치료후FAQ평분(15.12±1.09)교치료전(15.99±2.35)감저,제시치료후사회활동능력제고(P＜ 0.05); (3)3R치료조치료후NPI평분(10.11±2.03)교치료전(13.5±1.14)하강,표명행위과격발생솔강저(P＜0.01).결론 3R치료능유효제고아이자해묵병환자생활자리능력、사회활동능력,개선환자급조료자생활질량.
Objective Index by neuropsychological assessment,systematic reviews Reminiscence,Reality Orientation,and Remotivation of the 3R care therapy to improve the quality of life of patients with Alzheimer's effects.Methods In this study,experimental study design,selected 34cases of Alzheimer's disease,neuropsychological indicators (MMSE,ADL,FAQ,NPI) of the baseline assessment,and then randomized to the control group received conventional therapy,the treatment group were 3R therapy treatment based on the use of the cognitive training.After training at the beginning of the implementation of the first 3 months,6 months,respectively,the experimental group and control group of patients and analysis of the assessment of the indicators.Results (1) 3R treatment group significantly increased viability (P＜ 0.01); (2) 3R improve social skills therapy group (P＜ 0.05); (3) 3R behaving aggressively treated group reduced the incidence (P＜ 0.01).Conclusions 3R treatment of Alzheimer's disease can effectively improve the daily living,social skills,improve quality of life for patients and caregivers.