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现代护理医学杂志

Journal of Modern Nursing Medicine

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Journal of Modern Nursing Medicine. 2025; 4: (12) ; 10.12208/j.jmnm.20250655 .

Supportive effect of neurology nursing on patients with senile dementia
神经内科护理对老年痴呆患者的支持作用

作者: 黄志改 *, 张铭, 赵海珍

河北省石家庄市裕华区平安医院 河北石家庄

*通讯作者: 黄志改,单位:河北省石家庄市裕华区平安医院 河北石家庄;

引用本文: 黄志改, 张铭, 赵海珍 神经内科护理对老年痴呆患者的支持作用[J]. 现代护理医学杂志, 2025; 4: (12) : 161-163.
Published: 2025/12/20 10:35:47

摘要

目的 探究神经内科护理对老年痴呆患者的认知功能、生活能力及情绪状态的支持作用。方法 2024年1月至2025年1月,选取我院神经内科90例老年痴呆患者,随机分为对照组(45例)与实验组(45例)。对照组采用常规护理,实验组实施神经内科针对性护理,包括认知训练、生活技能指导、心理干预及安全管理,持续干预12周。结果 干预后,实验组MMSE评分(22.5±3.2)分高于对照组(18.3±2.8)分(t=7.12,P<0.05);ADL评分(68.7±6.5)分高于对照组(52.4±5.9)分(t=11.34,P<0.05);HAMA焦虑评分(10.2±2.1)分低于对照组(15.6±3.2)分(t=9.87,P<0.05)。结论 神经内科护理可改善老年痴呆患者认知功能与生活能力,缓解焦虑情绪,对患者整体状态具有积极支持作用。

关键词: 神经内科护理;老年痴呆;认知功能;生活能力;情绪状态

Abstract

Objective To investigate the supportive effects of neurology nursing on the cognitive function, daily living ability, and emotional state of elderly patients with dementia.
Methods From January 2024 to January 2025,90 elderly patients with dementia from our hospital's neurology department were randomly divided into a control group (45 cases) and an experimental group (45 cases). The control group received routine care, while the experimental group received targeted neurology nursing, including cognitive training, guidance on daily living skills, psychological intervention, and safety management, for a total of 12 weeks.
Results After the intervention, the MMSE score (22.5±3.2) in the experimental group was significantly higher than that in the control group (18.3±2.8) (t=7.12, P<0.05); the ADL score (68.7±6.5) in the experimental group was also significantly higher than that in the control group (52.4±5.9) (t=11.34, P<0.05); the HAMA anxiety score (10.2±2.1) in the experimental group was significantly lower than that in the control group (15.6±3.2) (t=9.87, P<0.05).
Conclusion   Neurology nursing can improve the cognitive function and daily living ability of elderly patients with dementia, alleviate anxiety, and positively support their overall condition.

Key words: Neurology nursing; Senile dementia; Cognitive function; Life ability; Emotional state

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