对社区老年血管性痴呆病人实施护理干预的效果观察

[目的]探讨护理干预对社区老年血管性痴呆病人康复的影响.[方法]通过对某社区老年血管性痴呆病人实施饮食、行为、心理、家庭护理干预,观察老年血管性痴呆病人康复的情况.[结果]病人的生活质量、社会生活能力有所提高.[结论]护理干预对老年血管性痴呆病人康复有积极的作用.     

对社区老年血管性痴呆病人实施护理干预的效果观察

[目的]探讨护理干预对社区老年血管性痴呆病人康复的影响。[方法]通过对某社区老年血管性痴呆病人实施饮食、行为、心理、家庭护理干预,观察老年血管性痴呆病人康复的情况。[结果]病人的生活质量、社会生活能力有所提高。[结论]护理干预对老年血管性痴呆病人康复有积极的作用。     

老年血管性痴呆病人的护理

介绍了血管性痴呆病人的心理护理、饮食护理、生活护理、安全护理、皮肤护理、用药护理、并发症预防、睡眠护理、康复护理,强调全面正确的护理,可促进病人智能恢复,改善血管性痴呆病人的生活质量。     

3R护理对老年血管性痴呆的影响

目的 :确定 3R护理方法对于改善老年血管性痴呆生活质量的作用 ;方法 :对老年血管性痴呆病人 34例实施3R护理训练并以同期 31例老年血管性痴呆病人对照观察 ,2组病人均进行WAIS -CR(简式 ) ,IADL -FAQ ,FIM(14～ 18)及RBMT -R4种量表综合评估病人生活质量的各种相关指标 ;结果 :3R护理组训练后生活质量有显著改善。     

3R护理对老年血管性痴呆的影响

目的：确定３Ｒ护理方法对于改善老年血管性痴呆生活质量的作用;方法：对老年血管性痴呆病人３４例实施３Ｒ护理训练并以同期３１例老年血管性痴呆病人对照观察,２组病人均进行ＷＡＩＳ－ＣＲ（简式）,ＩＡＤＬ－ＦＡＱ,ＦＩＭ（１４￣１８）及ＲＢＭＴ－Ｒ４种量表综合评估病人生活质量的各种相关指标;３Ｒ护理组训练后生活质量有显著改善。     

康复护理对血管性痴呆患者MMSE的影响

目的 通过康复护理干预提高血管性痴呆患者的认知能力.方法 将48例血管性痴呆住院患者随机分成观察组及对照组各24例,对观察组进行全程康复护理干预.对照组进行常规护理干预,通过MMSE量表进行评价.结果 观察组疗效明显好于对照组,两组具有显著性差异(P<0.05).结论 对血管性痴呆患者进行全面的康复护理,可明显促进病人的智力恢复,提高病人的生活质量.     

脑血管病诊断与治疗的现代概念(五)

五、血管性痴呆血管性痴呆（vasculardementia）是引起老年期痴呆的主要原因之一，是脑血管病较为严重的后果。在60岁以上缺血性脑血管病的病人中大约26．3％的病人发生痴呆。医血管性痴呆的概念所谓血管性痴呆是指由于脑缺血、出血、缺血一缺氧损害导致的足以影响日常活动的智能障碍。因此，构成血管性痴呆必需具备以下三个条件：①必需有痴呆；②从病史、临床检查和脑影像学上必需有脑血管病的证据；③痴呆和血管病有时间上的因果关系。考虑血管性痴呆的病人必需有痴呆，所谓痴呆是指记忆和智能的衰退足以影响日常生活。衰退一词说明痴呆…     

轻中度血管性痴呆病人的社会功能状况调查

[目的]调查轻中度血管性痴呆病人的社会功能状况及相关因素。[方法]采用简易智力状态量表（MMSE）、住院精神病人社会功能评定量表（SSPI）及日常生活能力量表（ADL）对58例住院血管性痴呆病人进行评定。[结果]轻中度血管性痴呆病人SSPI总分13.50分±7.76分,明显低于一般住院精神病人（P〈0.01）;ADL评分为39.66分±8.56分;ADL与其社会功能显著相关。[结论]轻中度血管性痴呆病人社会功能严重缺损,日常生活能力明显降低。应采取更加全面综合的干预措施来提高血管性痴呆病人的社会功能和生活质量。     

胞二磷胆碱加银杏叶片治疗血管性痴呆疗效观察

随着脑血管病发病率上升,血管性痴呆病人亦不断增多。血管性痴呆属可逆性痴呆,如能及时有效治疗,可以控制和改善病情,提高生活质量,延长病人生命。为了探寻有效治疗方法,我们试用胞二磷胆碱和银杏叶片联合治疗血管性痴呆50例,并与脑活素治疗结果对照分析,疗效满意。     

轻中度血管性痴呆病人的社会功能状况调查

[目的]调查轻中度血管性痴呆病人的社会功能状况及相关因素。[方法]采用简易智力状态量表(MMSE)、住院精神病人社会功能评定量表(SSPI)及日常生活能力量表(ADL)对58例住院血管性痴呆病人进行评定。[结果]轻中度血管性痴呆病人SSPI总分13.50分±7.76分,明显低于一般住院精神病人(P<0.01);ADL评分为39.66分±8.56分;ADL与其社会功能显著相关。[结论]轻中度血管性痴呆病人社会功能严重缺损,日常生活能力明显降低。应采取更加全面综合的干预措施来提高血管性痴呆病人的社会功能和生活质量。     

3R护理法对老年血管性痴呆病人康复的影响

目的:探讨3R护理法在血管性痴呆病人中的应用效果.方法:将98例血管性痴呆病人随机分为观察组和对照组,观察组采用3R护理法,对照组采用常规护理法,比较两组病人简易精神状态检查(MMSE-R)、韦氏智力量表(简式)(WAIS-RC)和行为记忆测验(改良)量表(RBMT-R)的评分结果.结果:两组病人的MMSE-R,WAIS-RC及RBMT-R量表评分比较有统计学差异(P＜0.05),观察组各项评价指标较对照组明显改善.结论:采用3R护理法有利于血管性痴呆病人的康复,能有效改善病人的智力、记忆、认知功能和生命质量.     

Supporting people with dementia in acute hospital settings

This article is the first in a series of five focusing on the needs of patients with dementia. The number of people with dementia accessing acute care is rising. The need for acute hospital care to adapt to demographic changes and to reflect these in the acute hospital structure is emphasised. The most common forms of dementia, including Alzheimer's disease, vascular dementia and Lewy body dementia, are discussed. The psychosocial aspects of this condition also need to be considered to promote nursing care that is sensitive to patients' needs.     

Cost comparisons between family-based care and nursing home care for dementia

A prospective study was carried out in Taiwan to measure the family cost of caregiving at home for 289 patients newly diagnosed with dementia (106 with senile-type dementia, 171 with vascular-type dementia). Their families were first interviewed in the outpatient department and then followed for 1 month after the dementia diagnosis was made. Simultaneously, the costs for providing nursing home care to patients with dementia were calculated using accounting data reported from six nursing homes. Comparisons were made between the amount and type of cost encountered by families and by nursing homes to determine whether family-based care was cheaper and more appropriate than nursing home care for dementia patients with different functional levels. The results showed that higher costs were encountered for caregiving at home when the patients had severe dependence. This tendency was more evident for patients with senile dementia than for patients with vascular-type dementia. The cost of labour was an important expense for families caring for patients at home (at least 85% of family costs). Our findings suggest that, when family labour cost is considered, nursing home care is less expensive than family-based care for long-term care, especially for dementia patients with severe or moderate dependence. Nursing home care is also a better choice when patients have great need for multiple health services.     

老年性痴呆病人的疼痛评估及护理进展

从老年性痴呆病人的疼痛经历、对老年性痴呆病人疼痛的评估以及药物止痛、非药物止痛方面阐述了老年性痴呆病人的疼痛护理。     

老年性痴呆病人的疼痛评估及护理进展

从老年性痴呆病人的疼痛经历、对老年性痴呆病人疼痛的评估以及药物止痛、非药物止痛方面阐述了老年性痴呆病人的疼痛护理。     

老年痴呆病人家属的家庭护理知识教育

通过对232例老年痴呆病人家属进行痴呆病人家庭护理知识教育,包括根据痴呆病人的疾病特点制订教育内容,重视对家属及病人进行基本的生活照顾、饮食护理、家庭安全护理、心理护理、生活能力训练等知识的教育.结果明显改善了老年痴呆病人出院后的生活质量.     

Exploring the usefulness of a recovery-based approach to dementia care nursing

Exploring new approaches to dementia care nursing is vital to enable services to cope with the expected rise in demand for healthcare due to an ageing population. A comparison between the current person-centred care approach in aged care and recovery-based approach that underpins mental health nursing was reviewed in the literature to determine which is more useful to dementia care nursing. The recovery model is the conceptual framework that underlies the recovery-based approach. It broadens the current person-centred care approach through the fostering of hope, facilitative rather than directive care, and enhances autonomy. This promotes positive outcomes for older people with dementia through empowerment to make choices in the way they wish to live within the community. This essay proposes that the recovery-based approach is more useful to dementia care nursing than person-centred models.     

护理干预对老年痴呆患者日常生活自理能力的影响

目的探讨积极的护理干预对老年痴呆患者日常生活自理能力的影响。方法对33例老年痴呆患者采取日常生活的护理、自我照顾能力的训练、认知训练及安全管理、心理护理。6个月后采用Χ^2检验评估护理干预效果。结果33例老年痴呆患者日常生活能力较护理干预实施前有显著改变。结论积极的护理干预对老年痴呆患者日常生活自理能力有显著改善作用。     

长谷川简易痴呆量表与老年痴呆的护理关系研究

目的　探讨长谷川简易痴呆量表与老年痴呆的护理关系。方法　于 1999年 9月对某部干休所的 89例老年病人 (病史情况 :高血压病 17例 ,高血脂症 16例 ,糖尿病 11例 ,脑梗塞 32例 ,冠心病 13例 )。用长谷川简易痴呆量表测试评分 (首次评分 ) ,根据测试评分结果和临床诊断分为老年痴呆组、可疑痴呆组、亚正常组、正常组。根据各组病人病情的不同而采取针对性家庭护理干预措施。一年内连续追踪随访 ,一年后再次用长谷川简易痴呆量表对 89例老年病人测试评分 (再次评分 )。结果　 89例老年病人首次与再次评分比较中 :痴呆组、可疑痴呆组、亚正常组、正常组都有极显著差异 (P <0 .0 1)。结论　长谷川简易痴呆量表对老年痴呆的护理有一定指导作用。