【摘要】 目的探讨"互联网+新型延续护理干预模式"对阿尔兹海默病(Alzheimer disease,AD)患者在认知功能和基本生活能力改善中发挥的有效作用。方法选取2014年10月-2016年9月我院神经内科出院的160例新诊断的AD患者,随机地分为干预组和对照组。干预组经神经内科护士进行常规健康教育和出院指导后,再接受由延续护理服务部专职护士提供的基于"互联网+"随访咨询、健康教育、医疗诊治与居家访视的新型延续护理干预模式的干预。对照组仅由神经内科护士进行常规健康教育和出院指导。在出院后6个月、12个月对患者的简易精神状态(MMSE)和基本生活活动能力(BADL)进行评估。结果干预后12个月两组患者的MMSE差异有统计学意义(t=5.55,P=0.001),干预组(15.44±6.32)分高于对照组(10.55±4.20)分;干预后12个月两组患者的BADL差异有统计学意义(t=2.30,P=0.023),干预组(64.27±28.37)分高于对照组(54.12±25.22)分。结论 "互联网+新型延续护理干预模式"对AD患者的认知功能和基本生活能力具有改善作用。更多还原

【Abstract】 Objective To study the role of an internet based new type of extended nursing intervention mode for Alzheimer disease(AD)patients in cognitive function and basic living ability improvement.Methods A total of 160 newly diagnosed AD patients were randomly divided into two groups.In intervention group,patients were mainly accepted internet based care services such as follow-up consultation,health education,medical treatment and home visiting by the full-time extended care nurses,in situations the neurology nurses provide them regular health education and guidance after discharge.In the control group,patients were only given regular health education and discharge guidance by the neurology nurses.The simple mental state(MMSE)and the basic activity of daily living(BADL)of patients were evaluated at the end of 6 and 12 months after discharge.Results After discharge of 12 months,the mean differences of MMSE scores between two groups was significant difference(t=5.55,P=0.001),the intervention group(15.44±6.32)higher than the control group(10.55±4.20).So did the BADL scores mean differences between two groups(t=2.30,P=0.023),the intervention group(64.27±28.37)was higher than that of the control group(54.12±25.22).Conclusion The internet based new type of extended nursing intervention mode is proved to be effect and helpful in improving the cognitive function and basic living ability of AD patients.更多还原