怀旧疗法联合同理心护理对轻中度阿尔茨海默病患者认知水平的影响分析

Analysis of effects of nostalgia therapy combined with empathy nursing on cognitive level of patients with mild to moderate Alzheimer's disease

中文关键词: 老年, 阿尔茨海默病, 怀旧疗法, 同理心护理, 认知

英文关键词: elderly  Alzheimer's disease  nostalgia therapy  empathy nursing  cognition

中文摘要:

      目的 观察怀旧疗法联合同理心(EMP)护理对轻中度阿尔茨海默病(AD)患者认知水平的影响,为治疗该病症提供方法.方法 选取2021年1月-2023年12月江苏省人民医院收治的111例轻中度AD患者作为研究对象,采用随机数字表法分为观察组(n=56)和对照组(n=55).对照组给予AD患者常规基础干预,观察组于对照组相同干预基础上给予AD患者怀旧疗法联合EMP护理.比较2组干预前后简易精神状态检查量表(MMSE)、蒙特利尔认知评估量表(MOCA)、改良Barthel指数(MBI)、生活质量量表(SF-36)评分情况,以及干预后医生面谈印象变化量表(CIBIC plus)评估疾病改善率结果.结果 干预后,2组MMSE、MOCA评分均高于同组干预前(P＜0.05),观察组MMSE、MOCA评分均高于对照组(P＜0.05);2组MBI评分均高于同组干预前(P＜0.05),观察组MBI评分高于对照组(P＜0.05);2组SF-36心理、躯体及社会功能维度评分,总体健康维度评分均高于同组干预前(P＜0.05),观察组上述评分均高于对照组(P＜0.05);观察组病情改善率高于对照组(60.71％vs 36.36％,x2=6.586,P＜0.05).结论 怀旧疗法联合EMP护理应用于治疗轻中度AD患者,效果良好,可有效改善患者精神行为症状,提高认知,提升日常生活能力,提高病情改善率和生活质量水平,具有一定的临床应用价值.

英文摘要:

      Objective To explore the effects of nostalgia therapy combined with empathy(EMP)nursing on cognitive level of patients with mild to moderate Alzheimer's disease(AD),and provide a method for the treatment of the disease.Methods 111 patients with mild to moderate AD admitted to People's Hospital of Jiangsu Province from January 2021 to De-cember 2023 were selected as the study subjects and divided into observation group(n=56)and control group(n=55)by random number table method.The control group received routine basic intervention for AD patients,and the observation group received nostalgic therapy combined with EMP nursing for AD patients on the basis of the same intervention in the control group.The scores of Mini-Mental State Examination(MMSE),Montreal Cognitive Assessment Scale(MOCA),Modified Barthel Index(MBI)and Short Form-36-item Health Survey(SF-36)were compared between the two groups before and after intervention.The scores of the Mini-Mental State Examination Scale(MMSE),Montreal Cognitive Assessment Scale(MO-CA),Modified Barthel Index(MBI),Quality of Life Scale(SF-36)before and after intervention,and the disease improve-ment rate evaluated by Clinician's Interview-Based Impression of Change Plus Caregiver Input(CIBIC plus)after intervention were compared between the two groups.Results After intervention,the scores of MMSE and MOCA in both groups were higher than those in the same group before intervention,and the scores in the observation group were higher than those in the control group(P＜0.05).The MBI scores in both groups were higher than those in the same group before intervention,and the score in the observation group was higher than that in the control group(P＜0.05).The scores of dimensions of the psy-chological function,physical function and social function and total scores of SF-36 in both groups were higher than those in the same group before intervention,and the scores in the observation group were higher than those in the control group(P＜0.05).The improvement rate of disease condition in observation group was higher than that in control group(60.71％vs 36.36％,x2=6.586,P＜0.05).Conclusion The application of nostalgia therapy combined with EMP nursing in the treat-ment of mild to moderate AD patients has a good effect.It can effectively improve patients'mental and behavioral symptoms,improve their cognition,enhance daily living ability,and improve the rate of disease improvement and life quality level.It has certain clinical application value.