Orem自理模式对血管性痴呆患者行为和精神症状的康复效果

目的探讨Orem自理模式对血管性痴呆患者行为和精神症状的康复效果。方法符合纳入标准的血管性痴呆患者63例,按随机顺序分为对照组和观察组。两组患者均给予多奈哌齐改善认知治疗,观察组在此基础上运用Orem自理模式,两组分别在干预前和干预6周后采用临床疗效总评定量表CGI-SI评定其临床疗效,同时采用Alzheimer病行为病理学评定量表(BEHAVE-AD)评定患者的行为和精神症状。结果观察组在干预后CGI-SI分与对照组比较差异有显著性(t=5.751,P0.01),BEHAVE-AD总分及行为紊乱、攻击行为、情感症状因子分亦具有显著性差异(t=5.022~7.157,P0.01)。结论应用Orem自理模式对血管性痴呆患者的行为和精神症状方面均有显著的改善作用。

Rehabilitation Efficacy of Orem Self-care Mode on Psychological and Behavioral Symptoms of Patients with Vascular Dementia

Objective To explore the rehabilitation efficacy of Orem self -care mode on the psychological and behavioral symptoms of patients with vascular dementia （VD）.Methods 63 patients with VD who met the inclusion criteria ,were divided into the control group and the observation group ,30 cases each in random order .The two groups of patients were treated with donepezil to improve cognition,while the observation group used Orem self -care mode on the basis of that .Two groups respectively used the clinical global impressions scale（CGI）to assess the effect before the intervention and 6 weeks after the intervention,also adopting the BEHAVE -AD to assess the psychological and behavior symptoms of dementia .Results CGI-SI scores of the observation group after the intervention was different from that of the control group,and the difference was statistically significant （t=5.751,P〈0.01）.BEHAVE-AD total scores and behavioral disorders ,aggressive behavior ,emotional symptoms factor scores of the observation group after the intervention were all different from those of the control group,and the differences were respectively statistically significant （t=5.022-7.157,P〈0.01）.Conclu-sion Application of Orem self -care mode shows a significant role in the improvement of psychological and behavioral symptoms of patients with VD.