个性化护理指导辅助奥氮平治疗对老年痴呆患者生活质量的影响

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目的 探讨个性化护理指导辅助奥氮平治疗对老年痴呆患者生活质量的影响.方法 48例老年痴呆患者作为研究对象,均给予奥氮平治疗并实施个性化护理指导.采用日常生活能力(ADL)量表(Barthel指数)评分、简明精神状态量表(MMSE)评分、临床印象变化量表(CIBIC-PLUS)评分评价所有患者入院时及治疗6个月后的生活能力、精神状态及临床印象变化情况,并进行比较.结果 患者治疗6个月后的ADL评分为25.00(15.00,43.75)分,明显高于入院时的20.00(10.00,35.00)分,差异有统计学意义(Z=3.616,P=0.000<0.05).患者治疗6个月后的MMSE评分为2.00(0.00,7.75)分,明显高于入院时的1.50(0.00,9.00)分,差异有统计学意义(Z=2.430,P=0.015<0.05).患者治疗6个月后的CIBIC-PLUS评分为(29.97±8.06)分,明显低于入院时的(38.15±8.42)分,差异有统计学意义(t=4.862,P=0.000<0.05).结论 在使用奥氮平治疗老年痴呆患者的同时实施个性化护理指导,可改善患者精神行为状态、生活质量,提高服务满意度.
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