| 孙志成,虞虔,李咏阳,孙雪,倪宏杨,胡影影,郭睿钰,陈静茹.康护训练新模式在养老机构阿尔茨海默病患者中的应用效果[J].中国康复,2026,41(4):212-216 |
| 康护训练新模式在养老机构阿尔茨海默病患者中的应用效果 |
| Application of a new rehabilitation nursing training model in patients with Alzheimers disease in nursing home |
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| DOI：10.3870/zgkf.2026.04.004 |
| 中文关键词: 康护“JIA”训练 阿尔茨海默病 养老机构 |
| 英文关键词: rehabilitation nursing "JIA" training Alzheimers disease nursing home |
| 基金项目:江苏省卫生健康委医学科研项目（Z2021080）；江苏省老年医学学会面上项目（JGS2025MS006） |
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| 中文摘要: |
| 目的:探讨康护训练新模式——康护“JIA”训练在养老机构阿尔茨海默病（AD）患者中的应用效果。方法：将70例养老机构AD患者按照随机数字表法分为观察组和对照组各35例。对照组给予养老机构常规康复护理干预，观察组在此基础上给予康护“JIA”训练干预。对照组有1例因个人原因退出，最终，观察组35例，对照组34例。干预前和干预6个月后分别对2组患者进行认知功能［包括简易精神状态检查量表（MMSE）和AD评定量表认知分量表（ADAS-Cog）］、精神行为症状［AD行为病理评定量表（BEHAVE-AD）］、 日常生活活动能力［改良Barthel指数评估量表（MBI）］、生活质量［AD生活质量量表（QOL-AD）］和照料者负担［Zarit照料者负担量表（ZBI）］评估。结果：干预6个月后，2组MMSE、MBI和QOL-AD评分均较干预前升高，且观察组高于对照组（P<0.05）；2组ADAS-Cog评分均较干预前降低，且观察组低于对照组（P<0.05）；观察组BEHAVE-AD、ZBI评分较干预前降低，且观察组低于对照组（P<0.05）；对照组BEHAVE-AD、ZBI评分与治疗前比较差异无统计学意义。结论：康护“JIA”训练能够有效改善养老机构AD患者的认知功能、精神行为症状、日常生活活动能力、生活质量和照料者负担，适于在养老机构内推广应用。 |
| 英文摘要: |
| Objective: To investigate the application of a new rehabilitation model named rehabilitation nursing "JIA" training in patients with Alzheimers disease in nursing home. Methods: A total of 70 patients with Alzheimers disease in nursing home were randomly divided into an observation group and a control group with 35 cases in each group. The control group received routine rehabilitation nursing intervention of nursing home, and the observation group received rehabilitation nursing "JIA" training additionally. One case in the control group withdrew due to personal reasons. Eventually, there were 35 cases in the observation group and 34 cases in the control group. Mini-mental state examination (MMSE), Alzheimers disease assessment scale cognitive subscale (ADAS-Cog), behavioral pathological assessment of Alzheimers disease (BEHAVE-AD), modified Barthel index (MBI), quality of life-Alzheimers disease (QOL-AD) and Zarit caregiver burden interview (ZBI) were assessed before and 6 months after intervention. Results: After 6 months of intervention, the scores of MMSE, MBI and QOL-AD in both groups were higher than those before the intervention, and the scores of MMSE, MBI and QOL-AD in the observation group were higher than those in the control group (P<0.05); The scores of ADAS-Cog in both groups were lower than those before the intervention, and the scores of ADAS-Cog in the observation group were lower than in the control group (P<0.05); The scores of BEHAVE-AD and ZBI in the observation group were lower than those before the intervention, and the scores of BEHAVE-AD and ZBI in the observation group were lower than in the control group (P<0.05); There were no statistically significant differences in the scores of BEHAVE-AD and ZBI in the control group before and after the intervention. Conclusion: Rehabilitation nursing "JIA" training can effectively improve the cognitive function, psychiatric behavioral symptoms, acti-vities of daily living, quality of life and caregiver burden of Alzheimers disease patients in nursing homes. It is suitable for promotion and application in nursing homes. |
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