目的探讨强化综合康复锻炼对阿尔茨海默病患者日常生活能力和认知能力的影响。方法2011年1—12月门诊和病房收治的阿尔茨海默病患者68例，随机分为干预组36例和对照组32例，对照组患者给予常规护理、运动宣教，干预组患者给予特定的综合康复锻炼，每次2 h，每周2次，持续6个月，用厄兰－日常生活活动检测量表评估患者日常生活能力，用阿尔茨海默痴呆评定量表评估患者的认知能力。结果研究结束后干预组患者日常生活活动评分较前升高（P<0.05），阿尔茨海默病痴呆评分较前降低（P<0.05）；研究结束后干预组患者日常生活活动评分高于对照组（P<0.05），阿尔茨海默痴呆评分低于对照组（P<0.05），差异均有统计学意义。结论综合康复锻炼可以改善阿尔茨海默病患者日常生活能力和认知能力，确保生活质量。%Objective To explore the effects of intensive multicomponent rehabilitation lasting for 6 months on activities of daily living and cognitive function of patients with Alzheimer’s disease. Methods From Jan 2011 to Dec 2011, 68 patients with Alzheimer’s disease were randomly divided into control group with 32 patients receiving general nursing care, and intervention group with 36 patients receiving two specific 2-hour multicomponent rehabilitation per week for 6 months. With Erlangen Test of Activities of Daily Living (E-ADL test) and the cognitive subscale of the Alzheimer’s Disease Assessment Scale (ADAS-Cog), activities of daily living and cognitive function of patients were assessed. Results After a 6-month multicomponent rehabilitation, patients in intervention group had higher E-ADL score (P<0.05) and lower ADAS-Cog score (P<0.05) than those of the baseline. Patients in intervention group had higher E-ADL score and lower ADAS-Cog than those in control group, which was statistically significant (P<0.05). Conclusion The intensive multicomponent rehabilitation could improve the ability to carry out activities of daily living and cognitive function of patients with Alzheimer’s Disease.
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