Effects of Early Multidimensional System Nursing Model on Wandering Behavior, Cognitive Function and Quality of Life in Hospitalized Patients with Mild Alzheimer's Disease

Abstract

Objective To explore the effect of early multidimensional system nursing model on wandering behavior, cognitive function and quality of life in hospitalized patients with Alzheimer's disease (AD). Methods Patients with mild AD (60 cases) who received conventional nursing intervention in our hospital from January 2016 to May 2017 were selected as the control group, and patients with mild AD (60 cases) who received multidimensional nursing intervention in our hospital from June 2017 to December 2018 were selected as the observation group. The scores of cognitive function, daily living ability, quality of life, and wandering behavior were compared between the two groups of patients before and after nursing intervention, and the differences in the incidence of accidents and family satisfaction between the two groups of patients were also compared. Results After the intervention, the scores of the ability of daily living (ADL) scale, the quality of life-AD (QOL-AD) assessment scale, the mini mental state examination (MMSE) scale in the observation group were significantly higher than those in the control group (P<0.05); the scores of continuous walking, escape behavior, and spatial disorientation in the observation group were significantly lower than those in the control group (P<0.05); the total incidence of accidents in the observation group was significantly lower than that in the control group (P<0.05); the satisfaction of family members in the observation group (96.67%) was significantly higher than that in the control group (81.67%) (P<0.05). Conclusion The early multidimensional system nursing model can significantly improve the cognitive function, daily life ability and quality of life of patients with mild AD, reduce the incidence of wandering behavior and related accidents, and also improve family satisfaction.