作　　者： (阮丽芬）; (许倩瑜）; (万婷）; (周斯敏）; (谢艳秋）;

机构地区： 广东省广州市番禺区中心医院神经内科,广州市511400

出　　处： 《护理实践与研究》 2017年第16期7-10,共4页

摘　　要： 目的:探讨家属培训在改善神经内科认知功能障碍患者生存质量中的效果。方法:选取2015年6月~2016年7月医院神经内科认知功能障碍患者148例,每位患者各选取1名家属作为培训与研究对象(148名),随机等分为观察组和对照组,观察和记录培训前及培训后随访1个月两组患者认知状态评分(NCSE)、简易精神状态量表评分(MMSE)、日常生活能力量表评分(ADL)、生存质量评分(SF-36),以及家属疲劳严重程度量表评分(FSS)、匹兹堡睡眠质量指数(PSQI)。结果:培训后随访1个月,观察组NCSE各项评分均高于对照组,差异有统计学意义(P<0.05)。MMSE,ADL评分均高于对照组,差异有统计学意义(P<0.05)。SF-36量表中躯体功能、心理功能、社会功能及物质生活状态、总体生活质量评分高于对照组,差异有统计学意义(P<0.05)。FSS,PSQI评分低于对照组,差异有统计学意义(P<0.05)。结论:家属培训在提高神经内科认知功能障碍患者生存质量方面效果显著,有助于减轻家庭和社会负担。 Objective: To explore the effect of family training on the quality of life of patients with cognitive dysfunction in neurology. Methods: A total of148 patients with cognitive dysfunction in neurology of our hospital from June 2015 to July 2016 were selected as research objects. Each patient selected one family member as the training and study subject( total of 148). They were randomly divided into observation group and control group. Neurobehavioral cognitive status examination( NCSE),mini-mental state examination( MMSE),activities of daily living( ADL),life quality score( SF-36),fatigue severity scale of family members( FSS) and Pittsburgh Sleep Quality Index( PSQI) of the two groups were observed and recorded before training and 1 month of follow-ups after the training. Results: After 1 month of follow-up after the training,the scores of NCSE in the observation group were higher than those in the control group and the difference was statistically significant( P < 0. 05). The scores of MMSE and ADL were higher than that of the control group and the difference was statistically significant( P < 0. 05). The physical function,psychological function,social function and material life status as well as score of overall quality of life in the SF-36 scale in the observation group were higher than those of the control group and the difference was statistically significant( P < 0. 05). The scores of FSS and PSQI were lower than that of the control group and the difference was statistically significant( P < 0. 05). Conclusion: Family training is effective in improving the quality of life of patients with cognitive dysfunction in neurology,which can help alleviate the family and social burdens.

关 键 词： 神经内科 认知功能障碍 家属培训 生存质量