CAJ | 학술논문

目的：分析预见性护理程序和常规健康干预方法对老年痴呆症的疗效及预后的价值。方法研究对象选自我院符合美国精神功能障碍分类与诊断（DSM-Ⅳ）标准的老年痴呆症患者84例，采用预见性护理程序模式（实验组）和常规健康干预方法（对照组）进行日常护理干预，通过日常生活活动能力量表（ADL）、简易精神状态量表（MMSE）和老年痴呆患者生活质量量表（QOLAD）评分观察2组疗效及并发症情况。结果实验组患者治疗前后MMSE、ADL和QOLAD组内评分以及与对照组评分比较差异有统计学意义（P＜0.05）；实验组并发症发生率明显低于对照组（P＜0.05）。结论预见性护理程序可明显改善老年痴呆患者日常自理能力、认知能力、行为能力、精神状况和生活质量。
목적：분석예견성호리정서화상규건강간예방법대노년치태증적료효급예후적개치。방법연구대상선자아원부합미국정신공능장애분류여진단（DSM-Ⅳ）표준적노년치태증환자84례，채용예견성호리정서모식（실험조）화상규건강간예방법（대조조）진행일상호리간예，통과일상생활활동능역량표（ADL）、간역정신상태량표（MMSE）화노년치태환자생활질량량표（QOLAD）평분관찰2조료효급병발증정황。결과실험조환자치료전후MMSE、ADL화QOLAD조내평분이급여대조조평분비교차이유통계학의의（P＜0.05）；실험조병발증발생솔명현저우대조조（P＜0.05）。결론예견성호리정서가명현개선노년치태환자일상자리능력、인지능력、행위능력、정신상황화생활질량。
Objective To comparatively study the treatment and prognostic value of predictive nursing procedure and gen-eral health interfering method on Alzheimer's disease.Methods Eighty-four cases of Alzheimer's patients from our hospital who met the American DSM-Ⅳ requirements were selected as research subject ,these patients were treated with predictive nursing procedure (test group) and general health interfering method (control group) for daily nursing.ADL ,MMSE and QQLAD e-valuation criteria were applied to evaluate the clinical effect and prognostic complications.Results There were significant differ-ences in MMSE ,ADL and QOLAD score within group and compared to that of control group (P<0.05).The occurrence rate of complications of test group was obviously lower than that of control group (P<0.05).Conclusion Predictive nursing proce-dure can significantly change the self-care ability ,cognitive ability ,capacity of act ,mental condition and life quality of Alzhei-mer's patients.