实用老年医学

实用老年医学 ›› 2022, Vol. 36 ›› Issue (4): 337-340.doi: 10.3969/j.issn.1003-9198.2022.04.004

• 专题论坛 • 上一篇    下一篇

老年透析病人前瞻性记忆功能的康复护理干预研究

陆雯, 李梦婷, 张留平, 王越, 谢庆磊, 王彬, 王丽娟   

  1. 210009 江苏省南京市,东南大学附属中大医院血液净化中心(陆雯,李梦婷,张留平,王越,谢庆磊,王彬);
    210036 江苏省南京市,江苏省卫生健康发展研究中心(王丽娟)
  • 收稿日期:2022-02-07 出版日期:2022-04-20 发布日期:2022-04-26
  • 通讯作者: 张留平,Email:shery_9926@sina.com
  • 作者简介:陆雯 主管护师
  • 基金资助:
    江苏省卫生健康发展研究中心课题(JSHD2021031)

Analysis of prospective memory rehabilitation nursing intervention in elderly patients undergoing dialysis

LU Wen, LI Meng-ting, ZHANG Liu-ping, WANG Yue, XIE Qing-lei, WANG Bin, WANG Li-juan   

  1. LU Wen, LI Meng-ting, ZHANG Liu-ping, WANG Yue, XIE Qing-lei, WANG Bin. Blood Purification Center, Zhongda Hospital of Southeast University, Nanjing 210009, China;
    WANG Li-juan. Jiangsu Province Health Development Research Center, Nanjing 210036, China
  • Received:2022-02-07 Online:2022-04-20 Published:2022-04-26

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摘要： 目的 分析老年透析病人的前瞻性记忆(PM)功能及康复护理干预的效果。 方法 选择本院2018～2020年期间进行血液透析的老年病人100例,采用随机数表法将其分为对照组和试验组,每组50例,其中对照组采用常规护理,试验组在常规护理基础上辅以PM康复训练(康复护理),比较2组干预前后的中文版剑桥前瞻性记忆测试量表(C-CAMPROMPT)评分、实验室指标及生活质量评分。 结果 干预前,2组的C-CAMPROMPT各维度评分、实验室指标及生活质量评分差异均无统计学意义(P>0.05);干预后,2组的C-CAMPROMPT各维度评分均升高,且试验组的C-CAMPROMPT各维度评分、生活质量评分均高于对照组。2组干预后血钙、血磷水平降低,血红蛋白和白蛋白水平升高,且试验组改善优于对照组,差异均有统计学意义(P<0.05)。 结论 常规的护理辅以PM康复训练干预措施能够改善老年病人的PM功能,提高认知功能和执行能力。

关键词: 血液透析, 前瞻性记忆, 认知功能, 康复护理

Abstract: Objective To analyze the prospective memory(PM)function and the effect of rehabiliation nursing intervention on PM in the elderly patients undergoing dialysis. Methods A total of 100 elderly patients undergoing hemodialysis in our hospital from 2018 to 2020 were selected and divided into the control group and the experimental group by random number table method, with 50 cases in each group. The control group was treated with routine nursing care, and the experimental group was treated with PM rehabilitation training on the basis of routine nursing care. The score of Chinese version of the Cambridge Prospective Memory Test Scale(C-CAMPROMPT), the levels of laboratory indicators and the score of quality of life were compared between the two groups before and after intervention. Results Before the intervention, there were no significant differences in the scores of C-CAMPROMPT dimensions, the levels of laboratory indicators and quality of life score between the two groups(P>0.05). After the intervention, the scores of C-CAMPROMPT dimensions of the two groups were all increased, and the scores of C-CAMPROMPT dimensions and quality of life in the experimental group were significantly higher than those in the control group.The levels of hemoglobin, albumin were significantly increased, and the levels of serum calcium and phosphate were significantly decreased in the two group after the intervention, especially in the experimental group(P<0.05). Conclusions Routine nursing supplemented with PM rehabilitation training intervention can improve the PM function of elderly patients, and improve the cognitive function and executive ability.

Key words: hemodialysis, prospective memory, cognitive function, personalized nursing

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