基于人类-环境-作业模式的认知刺激治疗在阿尔茨海默病病人中的应用

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Application of cognitive stimulation therapy based on person-environment-occupation model in patients withAlzheimer'sdisease

ZHANG Ruifen,ZHU Jianzhong,HU Jiaqi,ZHANG Li,DONG Chunyu

ieAffiliatedMental HealthCenterofJiangnanUniversity,Jiangsu214151Chi

*Corresponding Author ZHANG Ruifen,E-mail: 1494715791@qq.com

AbstractObjective:Toexploretheefectsofcognitivestimulationtherapybasedontheperson-environment-occpationmodelon improvingcognitivefunction,dailylivingabltes,andqualityoflifeinpatientswithAlzheimersdisease.Methods:Usingconvenience sampling,7OpatientswithAzheimersdiseasewhwerefirstadmitedtotegeriatricpsychiatrydepartmentofatertiaryospitalin WuxicitybetwnJune2O22 andFebruaryO23wereselected.Thepatientsweregroupedacordingtothecommunitytheysidedin, with 35 patientsiLiangxidistrictastheobservationgroupand 35patientsinBinudistrictasthecontrolgroup.Thecontrolgroup receivedroutiepcaticaehileeseratiogopeedgitiestlattrapyasdotepesoeviotupain modelinadditutiecaeeintervtionlstedfo24ks,7weesitospiald7weesoutsidethospital.oote Mini-MentalStateExamination(MMSE),ActvityofDailyLiving(ADL)Scale,ndQualityofLife-Alzheimer'sDisease(QOL-AD) scalewerecomparedbetweenthetwogroupsbeforetheintervention,7weksafterintervention,and24weeksafterintervention. Results:After7weeksofintervention,the MMSEscore intheobservationgroupwas higherthanthatofbefore theintervention( P< 0.05).After24weksofinterventiontheMMSEandQOL-ADscoresintheobservationgroupwerehigherthanbeforetheintervention and compared with the control group at the same time point ( P<0.05 ).However,the ADL score was lower than before the intervention and compared with the control group at the same time point (P<0.05) 0.Conclusions:Cognitive stimulation therapy based on theperson-environment-oupationmodelcouldimprovecogntivefunction,dailylivingabilities,andqualityoflifeinpatints with Alzheimer's disease.

KeyWordsAlzheersseas;ersoenvironmentoupatiomoel;cogitiestiulatiothrapy;ogitiefunction;ablityofdaily living; quality of life

摘要目的:探讨基于人类-环境-作业模式的认知刺激治疗对改善阿尔茨海默病病人的认知功能、日常生活能力及生活质量的效果。(剩余8871字)

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