3+1整体康复护理联合安全护理管理改善老年痴呆患者睡眠及预后的研究
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Abstract Objective：To evaluate the application effect of “ 3+1 ” holistic rehabilitation nursing combined with safety nursing managementinimprovingthesleepqualityandprognosis indementiapatients.Methods：Atotalof8Odementiapatientsaditte totheDepartmentofNeurology，TheFirstAfliatedHospitalof XiamenUniversitybetweenJanuary2O24andJanuary2025were selected as study subjects.They were divided into a control group and an observation group（ n=40 each）based on the order of admission. The control group received routine care，while the observation group received “ 3+1 ” holistic rehabilitation nursing combined withsafety nursing managementThefolowing assessmentswerecompared betweenthetwo groups：Mini-Mental State Examination（MMSE），Montreal Cognitive Assessment（MoCA），Pitsburgh Sleep Quality Index（PSQI），Activitiesof Daily Living （ADL），and Short Form36 Health Survey（SF-36），aswellas theresultsof the ChineseRehabilitation ResearchCenterAphasia Examination（CRRCAE）.Results：The observation group had higher MoCA，ADL，and SF-36 scores，whilethe MMSE and PSQI scores were lower.Theobservationgroup alsohad higher scores incognitive dimensionssuchasauditorycomprehension，eading， andnaming.Theincidenceof unexpected eventsduringthe nursing period waslowerintheobservationgroup.Thedifferences in multiple indicators were statistically significant （ P<0.05 ） . Conclusion ： " 3+1 "holistic rehabilitation nursing combined with safety nursing managementprovides higherqualitycare.Itsignificantlyimproves thesleepqualityofdementia patientsenhances theircognitivefunctionandself-careabilityenablesalifeappoximatingnormality，markedlyreducestheriskofaccidentalvents，and benefits patients in multiple aspects.
Keywords“ 3+1⋅ ’holistic rehabilitation nursing；Safety nursing management；Dementia； Sleep；Prognosis； Cognitive function；Self-care ability;quality of life
中图分类号：R248;R338.63 文献标识码：A doi：10.3969/j. issn.2095 -7130.2025.05.051
老年痴呆（Alzheimer'sDisease，AD）是我国老年人常见的神经性疾病，该病机制和 β 淀粉蛋白沉积、Tau蛋白异常磷酸化、胆碱能神经损伤等密切相关。（剩余5195字）
