华生关怀理论对老年痴呆症患者的临床干预效果

目的:探索华生关怀理论在老年痴呆症患者临床护理中的应用效果,为临床护理提供参考。方法:选择2012年3月至2014年3月我院收治的老年痴呆患者200例,随机分为治疗组和对照组。对照组采用常规护理措施,治疗组采用华生关怀理论进行干预。分别于干预前后采用简易智能量表(MMSE)、蒙特利尔认知评估量表(MOCA)、AD评定量表认知部分(ADAS-Cog)、日常生活活动量表(ADL)、中医症状积分量表对两组患者进行测评。结果:与干预前比较,两组患者干预后的MMSE和MOCA评分显著升高,ADAS-Cog、ADL和中医症状积分明显降低,差异具有统计学意义(P0.05);与对照组比较,治疗组患者变化更明显(P0.01)。两组患者干预前后的血尿常规、肝肾功能及心电图等指标无显著差异(P0.05)。结论:利用华生关怀理论护理老年痴呆症患者,不仅能改善患者的病情,缓解心理压力,而且有利于减轻家庭和社会负担。

Application of Watson Caring Theory in Nursing for Elderly Patients withAlzheimer's Disease

Objective:To explore the effect of Watson caring theory in nursing for patients with Alzheimer''s disease in order toprovide the reference for clinical nursing.Methods:200 cases with AD who were treated in our hospital from March 2012 to March 2014were selected and randomly divided into the treatment group and the control group. The patients in the control group were treated withthe conventional nursing, while the patients in the treatment group were treated with the Watson caring theory. Then the mini-mentalscale (MMSE), the montreal cognitive assessment (MOCA), the AD assessment scale-cognitive component (ADAS-Cog), the activities ofdaily living scale (ADL), and the TCM symptom score of patients in the two groups were evaluated before and after the interventions.Results:After treatment, the MMSE and MOCA of patients in the two groups increased, while the ADAS-Cog, ADL and TCMsymptomscore decreased when compared with before, and the differences were statistically significant (P<0.05); Compared with the control group,the improvement of the treatment group was more significant (P <0.01). There was no statistically significant difference about the blood,urine, liver, kidney, ECG and other indicators of patients in the two groups before and after the interventions (P> 0.05).Conclusion:TheWatson theory on nursing can improve the clinical symptoms, relief the psychological pressure of the elderly patients with Alzheimer''sdisease, and reduce the burden on their families and the society.