痴呆病人感染新型冠状病毒后的老年综合评估现状和应对策略

doi:10.3969/j.issn.1003-9198.2023.12.001

实用老年医学 ›› 2023, Vol. 37 ›› Issue (12): 1189-1192.doi: 10.3969/j.issn.1003-9198.2023.12.001

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痴呆病人感染新型冠状病毒后的老年综合评估现状和应对策略

马宗娟, 罗昌春, 邓宝凤, 王慧敏, 胡月青

100095 北京市,北京老年医院精神心理二科(马宗娟,胡月青); 护理部(罗昌春,邓宝凤); 急诊科(王慧敏)

收稿日期:2023-10-10 出版日期:2023-12-20 发布日期:2023-12-11
通讯作者: 罗昌春,Email:luocc419@163.com
作者简介:罗昌春副主任护师
基金资助:
2022年首都卫生发展科研专项青年优才项目(首发2022-4-2193);2021年北京市医院管理中心 "青苗"项目(QML20212101)

Comprehensive geriatric assessment status and coping strategies for patients with dementia complicated with COVID-19

MA Zong-juan, LUO Chang-chun, DENG Bao-feng, WANG Hui-min, HU Yue-qing

Department of Psychiatry (MA Zong-juan, HU Yue-qing); Nursing Department (LUO Chang-chun, DENG Bao-feng); Emergency Department (WANG Hui-min), Beijing Geriatric Hospital, Beijng 100095, China

Received:2023-10-10 Online:2023-12-20 Published:2023-12-11
Contact: LUO Chang-chun, Email: luocc419@163.com

摘要/Abstract

摘要： 目的分析新型冠状病毒感染(COVID-19)痴呆病人的老年综合评估结果,为制定COVID-19痴呆病人的护理策略提供参考。方法本研究为回顾性研究,收集北京老年医院认知障碍诊疗中心2022年12月至2023年2月间收治的249例年龄≥60岁痴呆病人的老年综合评估结果及相关资料,将其中入院时或住院期间确诊COVID-19的病人作为研究组(n=124),将未感染新型冠状病毒的病人作为对照组(n=125),对2组资料进行比较。结果研究组的日常生活能力和认知功能均比对照组差,压疮及跌倒的风险比对照组高,差异均有统计学意义(P＜0.05)。出院时,2组病人的日常生活能力、认知功能均有所提高,跌倒、压疮、尿失禁风险均显著下降,差异有统计学意义(P＜0.05)。结论痴呆病人感染新型冠状病毒后,认知功能和日常生活能力下降,跌倒及压疮的风险上升,根据此特点提出营养干预、照护者教育及“长新冠”管理等应对策略,有助于改善痴呆合并COVID-19病人的生存质量。
【关键词】老年人; 痴呆症; 新型冠状病毒感染; 护理策略

关键词: 老年人, 痴呆症, 新型冠状病毒感染, 护理策略

Abstract: Objective To analyze the results of comprehensive geriatric assessment (CGA) of the patients with dementia complicated with COVID-19, and to provide reference for the nursing strategies for the patients with dementia combined with COVID-19. Methods A total of 249 patients with dementia (aged≥60 years) who were admitted to the Center for Diagnosis of Cognitive Disorders of Beijing Geriatric Hospital from December 2022 to February 2023 were enrolled in this retrospective study. The patients diagnosed with COVID-19 at admission or during hospitalization were enrolled as the study group (n=124), and the others were enrolled as the control group (n=125). The results of CGA and relevant data of the patients were statistically analyzed. Results There were statistically significant differences in the scores of cognitive function, activity of daily living, falls and pressure sore between the study group and the control group during the COVID-19 pandemic (all P<0.05). At discharge, the status of cognitive function, activity of daily living, falls, pressure sore and urinary incontinence in both groups were all improved significantly (all P<0.05). Conclusions The cognitive function and activity of daily living are declining, and the risk of falls and pressure sores is increasing in the patients with dementia due to COVID-19. Based on this finding, it is recommended to develop the strategies of nutritional intervention, caregiver education and “long COVID-19” management, and to improve the quality of life of patients with dementia combined with COVID-19.

Key words: aged, dementia, COVID-19, nursing strategy

中图分类号:

R 473.74

马宗娟, 罗昌春, 邓宝凤, 王慧敏, 胡月青. 痴呆病人感染新型冠状病毒后的老年综合评估现状和应对策略[J]. 实用老年医学, 2023, 37(12): 1189-1192.

MA Zong-juan, LUO Chang-chun, DENG Bao-feng, WANG Hui-min, HU Yue-qing. Comprehensive geriatric assessment status and coping strategies for patients with dementia complicated with COVID-19[J]. Practical Geriatrics, 2023, 37(12): 1189-1192.

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痴呆病人感染新型冠状病毒后的老年综合评估现状和应对策略

Comprehensive geriatric assessment status and coping strategies for patients with dementia complicated with COVID-19

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