湖北科技学院学报（医学版）

目的 探讨综合照护策略在神经内科老年痴呆患者护理中的应用效果。方法 选取我院神经内科收治的100例老年痴呆患者，随机分为对照组和干预组，每组50例。对照组实施常规护理，干预组在常规护理基础上采用综合照护策略，包括认知训练、生活照料优化、心理支持及安全防护。采用MMSE、BI、HAMD和QOL-AD量表评估干预前后患者认知功能、日常生活能力、抑郁情绪及生活质量各项指标，并记录不良事件发生率。结果 干预后，干预组MMSE评分、BI指数、QOL-AD评分均显著高于对照组(P均<0.05),HAMD评分及不良事件发生率显著低于对照组(P均<0.05)。结论 综合照护策略可有效改善老年痴呆患者的认知功能、日常生活能力、抑郁情绪和生活质量，降低不良事件发生率，具有显著的临床应用价值。

Objective To evaluate the effectiveness of integrated care strategies among elderly patients with dementia in the neurology department.Methods A total of 100 elderly patients with dementia admitted to the neurology department were randomly assigned to the control group and experimental group, with 50 cases in each group.The control received routine care, and the experimental group received integrated care strategies including cognitive training, optimized daily care, psychological support, and safety precautions.Cognitive function(MMSE),daily living ability(BI),depression(HAMD),quality of life(QOL-AD),and adverse event rates were assessed before and after the intervention.Results After the intervention, the experimental group showed significantly higher MMSE,BI,and QOL-AD scores, along with significantly lower HAMD scores and incidence of adverse events, compared to the control group(all P<0.05).Conclusion Integrated care strategies can significantly improve MMSE,BI,HAMD,and QOL-AD,while reducing adverse events in elderly patients with dementia, thereby demonstrating substantial clinical application value.