摘要目的：探讨出院后延续护理干预对老年性痴呆患者日常生活能力、生活质量的改善效果。方法将最终入选的85例老年痴呆患者随机分为观察组与对照组。两组均在出院后接受神经科痴呆常规治疗及一般性生活护理,观察组在此基础上进行延续护理干预,包括居家康复训练、定期随访评估、躯体运动锻炼。入组12个月后,采用蒙特利尔认知评估量表( MoCA)和基本日常生活能力量表( BADL)评定患者生活质量的改善情况。结果干预前两组患者MoCA和BADL评分比较,差异均无统计学意义(P>0.05)。干预12个月后,观察组患者 MoCA 评分为(16.72±6.83)分,高于对照组的(13.33±7.11)分,差异有统计学意义(t=2.24,P<0.05)；观察组BADL评分为(36.98±15.93)分,高于对照组的(28.57±14.87)分,差异有统计学意义(t=2.51,P<0.05)。干预前后观察组MoCA和BADL总分明显改善,差异均有统计学意义,(t值分别为3.23,2.22；P<0.05)；对照组MoCA和BADL总分改善不明显,差异无统计学意义(t值分别为-0.20,-0.56；P>0.05)。结论出院后延续护理干预能促进老年性痴呆患者认知能力和日常生活活动能力的康复,有效地延缓痴呆的进展。

abstractsObjective To investigate the effect of continuing nursing intervention on dementia patients′daily living and the quality of life after discharge from hospital. Methods Totals of 85 cases of dementia patients according to the inclusion criteria were randomly divided into the observation group and the control group. Both groups received conventional neurology treatment of dementia and general life care after discharging from hospital. Besides, the observation group received continuing care, including family rehabilitation training, regular follow-up assessments and physical exercise. After 12 months enrollment, the observation group and the control group were assessed by using the Montreal Cognitive Assessment( MoCA) and Basic Activities of Daily Living ( BADL) . Results Before the intervention, no significant difference was found in the scores of MoCA and BADL between the control group and the observation group (P>0. 05). After 12 months of intervention, the scores of MoCA in the observation group were (16. 72 ± 6. 83), while those in the control group were (13. 33 ± 7. 11). There was a significant difference between the two groups (t=2. 24,P<0. 05). The scores of BADL in the observation group were (36. 98 ± 15. 93), while those in the control group were (28. 57 ± 14. 87). There was a significant difference between the two groups (t=2. 51,P<0. 05). The scores of both MoCA and BADL in the observation group were significantly improved (t=3. 23, 2. 22, respectively;P<0. 05), while those in the control group were not significantly improved (t= -0. 20, -0. 56, respectively;P>0. 05). Conclusions Continuing nursing intervention aimed at dementia patients can promote the rehabilitation of cognitive ability and activities of daily living of patients and effectively delay dementia progress.