综合护理干预对阿尔茨海默症患者负面情绪、护理不良事件及满意度的影响

Effect of comprehensive nursing intervention on negative emotions, nursing adverse events and satisfaction of patients with Alzheimers disease

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(3)
作者
作者单位

西安交通大学第一附属医院 ;
西安交通大学第一附属医院 ;

摘要
【摘要】 研究综合护理干预对阿尔茨海默病患者负面情绪、护理不良事件及护理满意度的影响。方法 选择2015年1月至2016年12月在我院治疗的阿尔茨海默病患者150例。用随机数表法分为对照组和实验组,每组各75例,对照组给予常规护理,实验组给予综合护理干预。比较两组患者的MMSE评分、ADL评分、CSDD评分、QOL-AD评分、护理不良事件和护理满意度。结果 治疗前两组患者的MMSE评分和ADL评分相近(P>0.05),治疗后两组患者的MMSE评分和ADL评分均高于对照组,实验组患者的得分更高,差异有统计学意义(P<0.05)。实验组患者跌倒、走失、误吸误服、激越和自伤伤人的发生率均低于对照组,但无统计学意义(P>0.05),但护理不良事件的总发生率较低,护理满意度较高(P<0.05)。治疗前两组患者的CSDD评分和QOL-AD评分相近(P>0.05),治疗后两组患者的CSDD评分下降,QOL-AD评分上升,实验组患者得分的变化幅度更大,差异有统计学意义(P<0.05)。结论 综合护理干预可以提高阿尔茨海默病患者的生活质量、认知功能和日常生活能力,减少护理不良事件,改善患者的情绪状态,提高护理满意度,值得在临床推广应用。
Abstract
[Abstract] Objective To study the influence of comprehensive nursing intervention on negative emotions, nursing adverse events and nursing satisfaction of patients with Alzheimers disease. Methods 150 patients with Alzheimers disease who treated in our hospital were selected from January 2015 to December 2016. They were divided into control group and experimental group randomly, 75 cases in each group, the control group was given routine nursing, the experimental group received comprehensive nursing intervention. Compared the MMSE score, ADL score, CSDD score, QOL-AD score, nursing adverse events and nursing satisfaction between the two groups. Results Two groups of patients before treatment MMSE score and ADL score were similar (P > 0.05), the two groups after treatment in patients with MMSE score and ADL score were higher than the control group, the patients in the experimental group scored higher, the difference was statistically significant (P < 0.05). The patients in the experimental group of fall, lost, aspiration ingestion, agitation and self injury occurrence of the injury rate was lower than the control group, but no statistical significance (P > 0.05), but the incidence of nursing adverse events was low, nursing satisfaction was higher (P < 0.05). Two groups of patients before treatment CSDD score and QOL-AD score were similar (P > 0.05), two groups of patients after treatment CSDD score decreased, QOL-AD scores increased range of patients in the experimental group scores were greater, the difference was statistically significant (P < 0.05).Conclusion Comprehensive nursing intervention can improve the quality of life of patients with Alzheimers disease, cognitive function and daily life ability, reduce nursing adverse events, improve the patients emotional state, improve nursing satisfaction, it is worthy of clinical application.
关键词
【关键词】综合护理干预;阿尔茨海默病;生活质量;护理不良事件;护理满意度
KeyWord
Keywords: comprehensive nursing intervention; Alzheimers disease; quality of life; nursing adverse events; nursing satisfaction
基金项目
页码 541-543
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屈彦*,牟春英,曹娜,王亮,张婷,李青莉, 郭晓娟. 综合护理干预对阿尔茨海默症患者负面情绪、护理不良事件及满意度的影响 [J]. 国际精神病学杂志. 2018; 45; (3). 541 - 543.

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