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Education on the implementation of the health care of Alzheimer's patients quality of life


Abstract Objective: To Alzheimer's disease patients, caregivers simultaneous implementation of health education to improve patient quality of life. Methods: 64 cases of hospitalized patients with Alzheimer's disease, observed 33 patients were randomly divided into control group, 31 patients, two groups of patients receiving conventional treatment at the same health education; study group on the basis of health education for caregivers,[link widoczny dla zalogowanych], and then Patients were evaluated quality of life. Results: 4 weeks in the observation group was significantly higher overall quality of life, significant difference (P Key words Alzheimer's disease; health education; caregivers; quality of life for Alzheimer's (AD) brain dysfunction is due to be generated, comprehensive, continuous intellectual impairment syndrome In addition to cognitive dysfunction, but also associated with behavioral and psychological symptoms. As the population ages, the prevalence of dementia increased gradually, from 60 to 90 years in the elderly, the prevalence rate increases exponentially with age, with an average increase of 1-fold every 5.1 years [1]. In elderly dementia patients in daily care, caregivers play an important role, I take care of those families through health education, to enhance its nursing knowledge and skills to improve patients with mild to moderate Alzheimer's capacity and quality of life, these are as follows : 1 Materials and Methods Clinical data 1.1 our department from April 2005 to May 2007 64 patients were treated Alzheimer's, 42 males and 22 females, average Age (75.4 ± 8.1) years. The DSM-IV [2] (American Psychiatric Diagnosis Statistical Manual version IV) diagnosed 36 cases of vascular dementia, Alzheimer's disease, 17 cases of vascular dementia Alzheimer's disease + dementia 11. According to MMSE [3] score, 40 patients with mild cognitive impairment and moderate cognitive impairment in 24 cases. Were hospitalized for other diseases, 12 cases of chronic bronchitis, emphysema in 14 cases, 16 cases of hypertension, diabetes in 13 cases, 9 cases of pulmonary infection. 33 patients were randomly divided into observation group, 31 patients in control group. Both groups were sex, age, education level and condition, the statistical test, P> 0.05, comparable. Matching patients to take care of the observation group selected 31 cases, including 18 males and 13 females, mean age (49.88 ± 8.99) years. Relationship: Spouse in 8 cases, children in 10 cases, the other 13 cases; education: more than 10 cases of high school, high school and below 21. 1.2 Methods 1.2.1 two teaching methods utilized, are the routine post-hospitalization treatment, including medication, health education, diet instruction, sports instruction, behavior intervention. The control group who did not care for intensive health education, the observation group were also implemented to take care of health education include: 1.2.1.1 Health assessment first general assessment of patients, to systematically collect data and record the health of patients, nursing examination system, complete and accurate. Understand the quality of life in patients with awareness of the disease, the extent of need for social support, level of awareness of drugs and the life of the future attitude of caregivers for patients to understand the level of interest, knowledge and attitudes of the disease and the disease affordability. 1.2.1.2 Health education content ① physical function of education: to take care of patients with Alzheimer's disease, explained the behavior of other, professors who care for patients with good functional knowledge of the guidance, collaborative care, patients understand their personality traits properly address all kinds of life events, and professional guidance in the future and to maintain contact. ② role and function of education: According to the caregiver acceptance, missionary senile dementia-related knowledge, including Alzheimer's disease clinical manifestations, etiology, predisposing factors, the role of functional exercise and measures related to nursing knowledge and improve caregiver quality of life of older persons and dementia understanding into the role as soon as possible. Stressed Alzheimer disease is a progressive over time, harmful nervous system disease, the patient's physical, role, emotional, social function will show irreversible damage. Adjust the individual's cognitive appraisal of events and improve the ability of the individual roles. ③ emotional function of education: to encourage carers, relatives, colleagues often visit patients, provide emotional support, so that patients feel from their families and all aspects of care and love, arouse their confidence in life and love of their loved ones, and gradually improve the patient emotional defense mechanism. Explain the psychological and emotional effects of senile dementia, psychological guidance for caregivers to provide appropriate help to reduce caregiver stress and anxiety. Caregivers insist on the observation, to find and master the ability to adapt to different caregivers and the functional behavior and mood changes. ④ social function of education: Professor of caregivers of patients change unhealthy lifestyle, especially for behavioral control, so as to continuously adapt to social needs. Adhere to explain the significance of social activities, reasonable arrangements for the lives of patients, operation, supervision and patients adhere to maximize access to social and natural world. Tell caregivers appropriate aerobic exercise help to improve organ function and social function in patients, so patients have a sense of accomplishment. Social support on functional status of patients, the overall feeling of health and happiness, which can affect their health-related quality of life. ⑤ comprehensive skills education: communication skills - communication needs assessment of the patient, understanding, Professor of the implementation of measures to take care of those patients before, during and after the purpose, process, effect and influence of communication, timely encouragement, and adjust the implementation of the next step efforts and progress of the project, commented to the patient after the implementation of results; presentation skills - to teach patients to take care of those who learn how to express error behavior and correct methods, and observe patients with mood, action, thinking and other changes, according to patient acceptability, for clothing, food , housing, transportation, excretion presentation skills training and other areas of learning; demonstration of skill - guide the care of patients who observe the gestures, facial expressions, etc., in a timely manner to meet patient needs. In the language at the same time, make full use of body language model, such as hands, feet close together, head to one side, said to sleep. 1.2.2 educational forms and methods of patient admission, based on assessment of the situation by the full-time nurses, caregivers of patients with group or individual to explain, release health information pamphlets, etc., AD knowledge of its health education and require their carers will learn the knowledge and skills to use care in the daily lives of patients. And note the gradual regular evaluation of educational results, according to the patient's individual differences, development of the disease in different periods to adjust education program and modify the content of education, so that patients can fully grasp the AD caregivers with the knowledge and skills to care for patients. 1.2.3 Evaluation of the Effects of Education full-time nurses by the use of quality of life assessment form [4] in the hospital 4 weeks after admission when the two groups of patients to rate the quality of life, including physical function, role function, emotional features, functionality and overall diet quality of life five aspects. The higher the score, indicating better quality of life. 1.3 survey data using statistical methods SPSS11.5 software package for statistical analysis.