CAJ | 학술논문

目的研究老年痴呆HABILITATION护理模式的临床效果。方法选择2010年4月-2012年10月间就诊的252例老年痴呆患者，将其随机分为观察组和对照组，各126例。对照组患者运用多奈哌齐等常规治疗方法和护理模式，观察组患者在以上治疗和护理的基础上实施老年痴呆HABILITATION护理模式。对两组患者进行干预前以及干预1年后的认知能力、日常生活能力、精神状况以及生活质量等改善情况进行比较。结果观察组老年痴呆患者实施1年的HABILITATION护理模式后，日常生活能力量表（ADL）、简易智能状态检查量表（MMSE）、神经精神科问卷（NPI）、老年痴呆患者生活质量量表（QOL-AD）、总体衰退量表（GDS）评分均高于对照组，差异有统计学意义（P<0.05或P<0.01）。结论对老年痴呆患者实施HABILITATION护理模式后可显著改善其认知能力、生活质量以及精神行为症状。
목적연구노년치태HABILITATION호리모식적림상효과。방법선택2010년4월-2012년10월간취진적252례노년치태환자，장기수궤분위관찰조화대조조，각126례。대조조환자운용다내고제등상규치료방법화호리모식，관찰조환자재이상치료화호리적기출상실시노년치태HABILITATION호리모식。대량조환자진행간예전이급간예1년후적인지능력、일상생활능력、정신상황이급생활질량등개선정황진행비교。결과관찰조노년치태환자실시1년적HABILITATION호리모식후，일상생활능역량표（ADL）、간역지능상태검사량표（MMSE）、신경정신과문권（NPI）、노년치태환자생활질량량표（QOL-AD）、총체쇠퇴량표（GDS）평분균고우대조조，차이유통계학의의（P<0.05혹P<0.01）。결론대노년치태환자실시HABILITATION호리모식후가현저개선기인지능력、생활질량이급정신행위증상。
Objective To study the clinical effect of senile dementia of HABILITATION nursing mode. Methods In our hospital 252 cases of senile dementia from April 2010 to October 2012, they were randomly divided into two groups. Control group of 126 patients used donepezil and other conventional treatment and nursing mode, based on above the treatment and nursing ,126 patients in the observation group implemented HABILITATION nursing mode of senile dementia .Cognitive ability, the ability of daily life, mental status and quality of life improvement were comparied in two groups of patients before and after 1 year of intervention.Results After 1 year of implementation of HABILITATION nursing mode, ADL, MMSE, NPI, QOL-AD, GDS scores of observation group were higher in the control group, there was significant difference in two groups (P<0.05 or P<0.01 ). Conclusion The implementation of HABILITATION nursing mode of elderly patients with dementia can significantly improve the cognitive ability, quality of life and mental behavior symptoms.