Application effect of nursing intervention in patients with Alzheimer's disease
10.3760/cma.j.issn.1674-2907.2017.05.021
- VernacularTitle:营养干预在阿尔茨海默病住院患者中的应用效果
- Author:
Wei MENG
1
;
Qinyun LI
;
Jing ZHAO
Author Information
1. 100095,北京老年医院精神心理一科
- Keywords:
Alzheimer disease;
Malnutrition;
Nursing intervention
- From:
Chinese Journal of Modern Nursing
2017;23(5):681-684
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application effect of nursing intervention in patients with Alzheimer's disease (AD).Methods Totally 120 cases of patients with moderate or severe AD in Beijing Geriatric Hospital were selected and randomly divided into the intervention group and the control group,with 60 cases in each group. Patients in the control group received conventional treatment,while patients in the intervention group received 12 weeks' nutrition intervention on the basis of conventional treatment. Mini-mental state examination (MMSE) and activities of daily living (ADL) baseline were assessed,and the baseline of nutrition indicators was assessed,including hemoglobin,total protein,albumin,prealbumin and body mass index (BMI). Indicators above were compared between two groups after intervention,and the caregiver burden inventory (CBI),falling attendances,infections,and deaths were also compared.Results After intervention, the hemoglobin,total protein,albumin,prealbumin and BMI of patients in the intervention group were higher than the control group (P<0.05);the MMSE score and ADL score in the intervention group after intervention were higher than the control group;the CBI score in the intervention group was lower than the control group (P<0.05);the falling attendances,infections and deaths in the intervention group were lower than the control group (P<0.05).Conclusions Individualized nutritional intervention in patients with moderate or severe AD,can improve the nutritional status of patients,reduce the occurrence of nosocomial infection,reduce the incidence of falling down and mortality. The nutritional intervention also has great clinical significance in improving patients' ADL and reducing caregivers' burden.