摘要
目的:探讨3+1整体康复护理联合安全护理管理在改善老年痴呆患者睡眠质量及预后的应用效果。方法:选取2024年1月至2025年1月厦门大学附属第一医院神经内科收治的老年痴呆患者80例作为研究对象,按照患者入院顺序分为对照组和观察组,每组40例。对照组采取常规护理,观察组给予3+1整体康复护理联合安全护理管理。比较2组患者简易智能量表(MMSE)、蒙特利尔认知功能量表(MoCA)、匹兹堡睡眠质量指数(PSQI)、日常生活能力量表(ADL)、简明生命质量评分量表(SF-36)评分,以及中国康复研究中心汉语标准失语症检查法(CRRCAE)评估结果。结果:观察组MoCA、ADL、SF-36评分更高,而MMSE、PSQI评分更低,观察组理解、阅读、命名等认知维度评分更高,住院期间意外事件发生率更低,差异有统计学意义(P<0.05)。结论:3+1整体康复护理联合安全护理管理的护理质量更高,能显著改善老年痴呆患者的睡眠质量,增强其认知功能和生活自理能力,使患者的生活更接近于正常人,显著降低意外事件发生风险,让患者多方面受益。
Objective:To evaluate the application effect of“3+1”holistic rehabilitation nursing combined with safety nursing management in improving the sleep quality and prognosis in dementia patients.Methods:A total of 80 dementia patients admitted to the Department of Neurology,The First Affiliated Hospital of Xiamen University between January 2024 and January 2025 were selected as study subjects.They were divided into a control group and an observation group(n=40 each)based on the order of admission.The control group received routine care,while the observation group received“3+1”holistic rehabilitation nursing combined with safety nursing management.The following assessments were compared between the two groups:Mini-Mental State Examination(MMSE),Montreal Cognitive Assessment(MoCA),Pittsburgh Sleep Quality Index(PSQI),Activities of Daily Living(ADL),and Short Form 36 Health Survey(SF-36),as well as the results of the Chinese Rehabilitation Research Center Aphasia Examination(CRRCAE).Results:The observation group had higher MoCA,ADL,and SF-36 scores,while the MMSE and PSQI scores were lower.The observation group also had higher scores in cognitive dimensions such as auditory comprehension,reading,and naming.The incidence of unexpected events during the nursing period was lower in the observation group.The differences in multiple indicators were statistically significant(P<0.05).Conclusion:“3+1”holistic rehabilitation nursing combined with safety nursing management provides higher quality care.It significantly improves the sleep quality of dementia patients,enhances their cognitive function and self-care ability,enables a life approximating normality,markedly reduces the risk of accidental events,and benefits patients in multiple aspects.
作者
林慧玲
陈美燕
LIN Huiling;CHEN Meiyan(Department of Neurology,First Affiliated Hospital of Xiamen University,Xiamen 361003,China)
出处
《世界睡眠医学杂志》
2025年第5期1159-1161,1165,共4页
World Journal of Sleep Medicine
关键词
3+1整体康复护理
安全护理管理
老年痴呆
睡眠
预后
认知功能
生活自理能力
生命质量
“3+1”holistic rehabilitation nursing
Safety nursing management
Dementia
Sleep
Prognosis
Cognitive function
Self-care ability
quality of life
