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目的:探究老年阿尔茨海默症患者在应用延续性护理后生活质量的改善情况,并分析护理后的依从性及满意度。方法:选择2012年3月至2014年3月在洛阳市第三人民医院接受治疗的老年阿尔茨海默症患者226例进行对照研究,借助于数字随机表法,将其列入观察组(113例)和对照组(113例)。对照组行常规护理,而观察组采用延续性护理方案。对比两组护理前后生活质量评分、依从性评分以及满意度。结果:护理前,两组生活质量评分比较,差异均无统计学意义(P>0.05);而护理后,与对照组相比,观察组生活质量评分明显较高,差异具有统计学意义(P<0.05)。护理后的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分也得到不同程度的下降,且观察组低于对照组。并且护理后观察组各方面的依从性得分高于对照组,而观察组92.04%(104/113)的满意度也高于对照组的76.11%(86/113),差异具有统计学意义(P<0.05)。结论:延续性护理干预在老年阿尔茨海默症患者中的应用能显著提高其生活质量,对患者的依从性与满意度也有不同程度的提高。
Objective: To explore the improvement of quality of life in elderly patients with Alzheimer’s disease after applying continuous nursing care and to analyze the compliance and satisfaction after nursing. Methods: 226 elderly patients with Alzheimer’s disease who were treated in the Third People’s Hospital of Luoyang from March 2012 to March 2014 were enrolled in this study. The data were included in the observation group (113 Cases) and control group (113 cases). The control group received routine nursing, while the observation group used continuous nursing program. The quality of life scores, compliance scores and satisfaction of two groups before and after nursing were compared. Results: Before nursing, there was no significant difference in quality of life between the two groups (P> 0.05). After nursing, the quality of life score of the observation group was significantly higher than that of the control group (P> 0.05), and the difference was statistically significant <0.05). After the nursing care anxiety self-rating scale (SAS), depression self-rating scale (SDS) scores also decreased to varying degrees, and the observation group was lower than the control group. The scores of compliance in observation group were higher than those in control group after treatment, while the satisfaction rate of 92.04% (104/113) in observation group was also higher than that of control group (76.11%, 86/113), the difference was statistically significant (P <0.05). Conclusion: The application of continuous nursing intervention in elderly patients with Alzheimer’s disease can significantly improve their quality of life, and their compliance and satisfaction with patients to varying degrees.