顾文钦,秦杰,王朴,等.多中心医养结合康复治疗对失智症患者的疗效[J].中华物理医学与康复杂志,2020,42(7):628-631
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| 多中心医养结合康复治疗对失智症患者的疗效 |
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| DOI：10.3760/cma.j.issn.0254-1424.2020.07.010 |
| 中文关键词: 多中心医养结合 康复治疗 失智症 |
| 英文关键词: Pensions Medical services Rehabilitation therapy Senile dementia |
| 基金项目:上海市徐汇区医学科技项目（SHXH201619）：上海市徐汇区医学尖峰高峰高原学科建设（SHXH201722） |
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| 中文摘要: |
| 目的 观察多中心医养结合康复治疗对失智症患者的疗效。 方法 选择60～80岁居住在养老院的轻、中度老年失智症患者100例，采用队列研究的方法分为康复组和对照组，每组患者50例。对照组给予养老院的常规照料和护理，康复组在对照组的基础上由专业康复团队制定的康复治疗计划，并实施个性化康复训练，每天训练1次,每次每项30 min，干预期为12个月。于治疗前、治疗6个月和12个月后采用简易智力状态检查量表（MMSE）、Barthel指数和老年痴呆患者生活质量量表（QOL-AD）分别评估2组患者的认知能力、日常生活活动能力和生活质量。 结果 治疗6个月和12个月后，康复组的MMSE评分和QOL-AD评分显著优于组内治疗前和对照组同时间点，差异均有统计学意义(P＜0.05)。治疗12个月后，2组患者的Barthel指数评分与组内治疗前比较，差异均有统计学意义(P＜0.05)，且康复组Barthel指数评分为（59.60±9.14）分，优于对照组同时间点，差异有统计学意义(P＜0.05)。 结论 通过系统、持续的医养结合康复训练，可显著改善早、中期失智症患者的认知功能、日常生活活动能力及生活质量，减慢病情进展。 |
| 英文摘要: |
| Objective To investigate the effect of integrating nursing home service with rehabilitation therapy for persons with senile dementia. Methods One hundred elderly persons with senile dementia were randomly divided into an observation group and a control group, each of 50. Both groups were given routine nursing care, while the observation group was additionally provided with rehabilitation training. Before and after the intervention, both groups were evaluated using the mini-mental state examination (MMSE), the Barthel index and QOL-AD. Results After the intervention, the average MMSE, Barthel index and QOL-AD scores of both groups were significantly improved, with the average improvement in the observation group significantly greater. Conclusions Rehabilitation training can effectively improve the cognitive functioning, performance in the activities of daily living and life quality of persons with senile dementia. |
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