基于医院-社区-家庭多元联动模式的康复护理管理在AD患者中的应用效果

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[Abstract] Objective： To explore the application effect of rehabilitation nursing management based on hospital-community-family multiple linkage model in patients with Alzheimer's disease （AD）.Method：A total of 82 patients withADadmited to the Second Afiliated HospitalofNanchang Universityfrom January to December 2024 were selected. They were divided into a control group （ n =41， received conventional nursing management） and an observation group （ n =41，received rehabilitation nursing management based on hospital-community-family multiple linkage model on the basis of conventional nursing management） using a random number table method. Both groups were intervened for6 months.The scoresof Barthel index （BI），mini mental state examination （MMSE）， Montreal cognitive assessment （MoCA）and Chinese version of family caregiving ability for elderlypatients in the two groupswere compared.Result： Before the intervention，there were no statistically significant diffrences in thescores of BI，MMSE，MoCA，andthe Chinese version of familycaregiving ability for elderlypatients between the two groups （ P >0.05）.After the intervention，the scores of BI， MMSE，MoCA，and the Chinese version of family caregiving ability for elderly patients in both groups were higher than those before the intervention （ P <0.05）.After the intervention，thescores of BI，MMSE，MoCA，and theChinese versionoffamilycaregivingabilityforelderly patients in the observation group were higher than those in the control group （ P <0.05）. Conclusion：Rehabilitation nursing management based on hospital-community-family multiple linkage model can enhance self-care ability and cognitive function of patients with AD，and improve the caregiving ability of caregivers.

[Keywords]Hospital-community-familyMultiple linkage modelAlzheimer'sdiseaseRehabilitation nursing management

First-author's address： Department of Neurology， the Second Affiliated Hospital of Nanchang University，Nanchang 33oooo， China

阿尔茨海默病（AD）是一种以进行性认知功能障碍和行为损害为特征的中枢神经系统退行性疾病，患者以健忘、短期记忆缺失、生活自理能力下降、精神行为异常等为主要表现，严重影响患者生活质量[]。（剩余5650字）