简易智能精神状态检查量表检测对痴呆患者临床护理的指导作用
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摘要
目的探讨在痴呆患者中应用简易智能精神状态检查量表(MMSE)对于临床护理的指导作用。方法将我院收治的60例痴呆患者随机分为对照组(30例)和观察组(30例)。两组入院后进行MMSE检测,对照组实施常规护理措施,观察组根据MMSE检测结果实施护理干预,比较两组的护理效果。结果两组护理后的MMSE评分均提高,观察组评分高于对照组(P<0.05);两组护理后ADL评分降低,观察组评分低于对照组(P<0.05);两组护理后的HAMA、HAMD评分均降低,且观察组低于对照组(P<0.05)。结论应用MMSE量表检测对痴呆患者行临床护理指导可提高患者的认知功能和日常生活能力,改善患者的负性情绪。
Objective To explore the guidance function of mini-mental state examination(MMSE) in the clinical nursing of dementia patients. Methods Sixty cases of dementia patients admitted in our hospital were randomly divided into control group(n=30) and observation group(n=30). The MMSE was detected in the two groups after admission. The control group was given routine nursing, and the observation group was given individual nursing intervention according to MMSE test results. The nursing effects of the two groups were compared. Results The scores of MMSE in the two groups increased after nursing, and that of the observation group was higher than the control group( P <0.05). The ADL scores in the two groups decreased after nursing, and that of the observation group was lower than the control group(P<0.05). The HAMA and HAMD scores in the two groups decreased after nursing, and those of the observation group were lower than the control group(P <0.05). Conclusion The application of MMSE scale to detect dementia patients with clinical nursing guidance can improve the patients' cognitive function, daily living ability and the patient's negative emotions.
Objective To explore the guidance function of mini-mental state examination(MMSE) in the clinical nursing of dementia patients. Methods Sixty cases of dementia patients admitted in our hospital were randomly divided into control group(n=30) and observation group(n=30). The MMSE was detected in the two groups after admission. The control group was given routine nursing, and the observation group was given individual nursing intervention according to MMSE test results. The nursing effects of the two groups were compared. Results The scores of MMSE in the two groups increased after nursing, and that of the observation group was higher than the control group( P <0.05). The ADL scores in the two groups decreased after nursing, and that of the observation group was lower than the control group(P<0.05). The HAMA and HAMD scores in the two groups decreased after nursing, and those of the observation group were lower than the control group(P <0.05). Conclusion The application of MMSE scale to detect dementia patients with clinical nursing guidance can improve the patients' cognitive function, daily living ability and the patient's negative emotions.
引文
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[2]孙芸,靳士立,谢贞,等.改良临床痴呆评定量表中文版信效度的初步研究[J].中华行为医学与脑科学杂志,2015,24(2):178-180.
[3]中华医学会精神科分会.CCMD-3中国精神障碍分类与诊断标准[M].济南:山东科学技术出版社,2001:35-38.
[4]宋桂华.益智胶囊联合多奈哌齐治疗血管性痴呆的疗效观察[J].陕西中医,2015,36(9):1188-1189.
[5]范伟女,洪文轲,管琼峰.盐酸美金刚治疗帕金森痴呆患者的疗效观察[J].中华全科医学,2015,13(5):722-724.
[6]周小炫,谢敏,陶静,等.简易智能精神状态检查量表的研究和应用[J].中国康复医学杂志,2016,31(6):694-696.
[7]胡慧英,吴绍长.社区综合护理干预在阿尔茨海默病中轻度患者中的应用效果[J].中国医药导报,2016,13(28):163-167.
[8]李学杰,曾进,谭支支,等.健脑通胶囊治疗老年痴呆临床观察[J].湖北中医药大学学报,2016,18(3):84-86.
[9]李新文,巩尊科,王世雁,等.MRS在非痴呆型血管性认知障碍评定中的临床应用研究[J].徐州医学院学报,2017,37(4):248-251.