ABSTRACT
Objective To explore the effect of daily life ability training guided by adaptation model in dementia patients with Alzheimer's disease(AD).Methods32 patients with dementia of AD were divided into experimental group(n=16) and control group(n=16) according to the random number method.The patients in two groups were treated with conventional drugs.The patients in experimental group were trained for daily living ability guided by adaptation mode for 6 months in addition.Scale of Clinical Assessment for Geriatrics (SCAG) and Activity of Daily Living Scale (ADL) were assessed before and after six months.Results(1)After 6 months training,the total scores of ADL and SCAG and the scores of each factor in the experimental group were significantly different from those of the control group (P<0.05).(2) After 6 months training,the total score of the ADL scale in the experimental group was decreased than that before training((41.34± 11.02),(34.14± 8.40)),and the difference was statistically significant (t=2.08,P<0.05).(3) Compared with that before training,the total score of the SCAG scale in the experimental group was significantly decreased(92.56±4.24,75.31±6.26,t=9.12,P<0.05).ConclusionThe daily life ability training guided by adaptation model is effective in the treatment of dementia patients with AD.The adaptive model is available in home care,community daycare institutions and geriatric ward for patients with dementia in AD.
ABSTRACT
Objective To explore the impact of concentrated teaching, self-help training, intensive training, scenario simulation and other systemic training methods on the health teaching level of community health education staff,and the impact of community health education on cultivation of residents' health behavior before and after training. Methods 60 community doctors and nurses involved in systematic training. Taught concentrated 8 hours every week, and continuous for 4 weeks with medicine, psychology, sociology, pedagogy, aesthetics and production of courseware. Trainees who awarded 80 points or more in examination took part in simulated scene training, which completed a 30-minute design of concentrated health lesson and a 15-minute design of one to one health lesson in written form and multimedia teaching. Teaching effect-site was evaluated by the residents of the community lectures. The impact on cultivation of residents' behaviors was evaluated with ruler evaluation method.Results The community health care workers' teaching ability had significant change after training: plan design (2.32 ± 1.41 vs 4.26 ±0.61 ), lectures (2.63 ±0.89 vs 4.09 ±0.93), teaching skills ( 1.97 ± 1.32 vs 3.89 ±1. 13 ), teaching aids configuration ( 1.68 ± 1. 43 vs 3.97 ± 1. 26 ), educational methods ( 2.01 ± 0. 96 vs 4.03 ±0.82), time control (2.83 ±0.26 vs 4.67 ±0.25), the classroom atmosphere (2.78 ± 1. 13 vs 4.12 ±0.67),courseware ( 2.48 ± 1. 08 vs 3.89 ± 1.02 ) , teaching the image ( 2.15 ± 1.15 vs 4.06 ± 0.78 ), overall evaluation (2.36 ± 1.21 vs 4. 16 ± 0.65 )(P ＜ 0. 0 1 ). After training, community residents' knowledge on community health care workers' one to one health education and collective health education training, and positive evaluation of helpful to students' behavior improved significantly ( x2 = 17.19,36.37 ;8.91,20.98 ;34.14,32.29) ,and all had remarkable difference( all P＜0. 01 ). Evaluating the impact of health care workers' teach on cultivating residents'health behavior after one year, it improved significantly (P ＜ 0. 01 ). Conclusion Systemic training can improve health education ability of community medical staff and the impact on cultivating residents' health behavior is remarkable.