护理干预对提高阿尔茨海默病患者自理及认知能力的探讨

目的探讨护理干预对提高阿尔茨海默病患者自理和认知能力的作用。方法选择本院2004年2～8月期间住院的轻、中度AD患者60名，随机分为实验组和对照组各30名。实验组除与对照组一样接受常规治疗外，同时进行护理干预。干预时间为6个月。以日常生活能力量表（ADL）和简易智力状态检查量表（MMSE）作为评定工具。结果实验组经护理干预后，MMSE评分与干预前以及对照组干预后比较差异有统计学意义（P〈0．05）。实验组除ADL量表中洗衣、洗澡、定时如厕、打电话4项外，其余各项与干预前以及对照组干预后比较差异均有统计学意义（P均〈0．05）。结论本研究提示，护理干预可提高AD患者的生活自理能力和改善认知障碍，从而提高患者的生活质量。

Probe into nursing interference on enhancement of taking care of living for one-self and cognitive function in patients suffered with Alzheimer disease

Objective To probe role of nursing interference on enhancement of taking care on living for oneself and cognitive function in patients suffered with Alzcheimer disease （AD）. Method 60 patiente with mild and moderate AD randomly divided into test group and control group with 30 cases each. In test group, excepted rou tine treatment same as in control group accepted, nursing intervention, training 6 months of treatment for the two groups altogether. Results In the test group, after nursing interference training, there was obvious difference between grading of MMSE before interference compared with after interference （P〈0.05）. In ADL questionnaire of test group, excepted cloths washing.taking bath.definite time to go to toilet and to use telephone, the rest items compared with before intervention and control group after inference the difference were obvious （P values all 〈0.05）. Conclusion It is showed in the study, nursing intervention may to enhance self-management of living and to improve quality of life （GOL） of the patients.