Volume 22 Issue 4
Apr.  2024
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ZHU Ruhuang, ZHENG Huihui, WANG Wanhui, WANG Zhen. Effect of action research-based Montessori feeding training on feeding behavior of Alzheimer's disease patients[J]. Chinese Journal of General Practice, 2024, 22(4): 605-608. doi: 10.16766/j.cnki.issn.1674-4152.003461
Citation: ZHU Ruhuang, ZHENG Huihui, WANG Wanhui, WANG Zhen. Effect of action research-based Montessori feeding training on feeding behavior of Alzheimer's disease patients[J]. Chinese Journal of General Practice, 2024, 22(4): 605-608. doi: 10.16766/j.cnki.issn.1674-4152.003461
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Effect of action research-based Montessori feeding training on feeding behavior of Alzheimer's disease patients

doi: 10.16766/j.cnki.issn.1674-4152.003461

  • Ward 17, Department of Neurology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325000, China

Funds:

 LY19H090013

  • Received Date: 2023-10-28
    Available Online: 2024-05-29
    Abstract
  •   Objective  To establish Montessori feeding training based on action research method, observe its influence on eating behavior of patients with Alzheimer's disease, so as to provide theoretical basis for improving patients' ability to eat independently and reducing the burden of caregivers.  Methods  A total of 104 patients with Alzheimer's disease treated in the First Affiliated Hospital of Wenzhou Medical University from March 2022 to March 2023 were divided into two groups by random number table method. The control group (52 cases) received routine feeding care intervention, and the observation group (52 cases) received Montessori feeding training intervention based on action research method. The eating behavior, eating capacity and nutritional status of the two groups were compared before and after the intervention.  Results  The incidence of abnormal eating behavior in the observation group was lower than that in the control group (P < 0.05), and the time of eating independently was longer than that in the control group [(17.89±3.11) min vs. (11.34±2.10) min, t=13.568, P < 0.05]. The score of eating behavior scale (EBS) was higher than that of control group (14.23±3.14 vs. 10.12±2.67, t=9.076, P < 0.05), and the Edinburgh feeding evaluation in dementia scale (EdFED) was lower than that of control group (10.13±2.11 vs. 16.34±3.56, t=11.906, P < 0.05), the score of mini nutritional assessment (MNA) was higher than that of control group (10.67±2.18 vs. 8.33±1.14, t=10.987, P < 0.05). There was no significant difference in BMI between the two groups (20.47±4.12 vs. 20.24±4.67, t=0.675, P>0.05).  Conclusion  Montessori feeding training based on action research has a positive effect on reducing abnormal eating behavior, improving eating ability and preventing malnutrition in patients with Alzheimer's disease.

     

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    • References(18)
  • [1]
    杨羿, 顾立强. 阿尔兹海默病的外科治疗进展[J]. 中华显微外科杂志, 2022, 45(4): 472-475. doi: 10.3760/cma.j.cn441206-20220801-00162

    YANG Y, GU L Q. The progress of surgical treatment of Alzheimer's disease[J]. Chinese Journal of Microsurgery, 2022, 45(4): 472-475. doi: 10.3760/cma.j.cn441206-20220801-00162
    [2]
    MOREIRA V S, CHAVES M L F, DE CASTILHOS R M, et al. Caregiver burden related to feeding process in Alzheimer' s disease[J]. Dement Neuropsychol, 2023, 24(17): 101-107.
    [3]
    陈菊艳, 杨咏君, 谢丽萍, 等. 行动研究法构建的延续性护理对慢性肾功能不全中药熏药患者的影响[J]. 齐鲁护理杂志, 2023, 29(7): 47-50. doi: 10.3969/j.issn.1006-7256.2023.07.013

    CHEN J Y, YANG Y J, XIE L P, et al. The effect of continuous care constructed by the action research method on patients with chronic renal dysfunction[J]. Journal of Qilu Nursing, 2023, 29(7): 47-50. doi: 10.3969/j.issn.1006-7256.2023.07.013
    [4]
    王蕾, 李洁. 基于行动研究法的PRECEDE护理模式在肺结核患者中的应用[J]. 中国医药导刊, 2022, 24(12): 1261-1264. doi: 10.3969/j.issn.1009-0959.2022.12.021

    WANG L, LI J. Application of PRECEDE Nursing Mode Based on Action Research Method in Pulmonary Tuberculosis Patients[J]. Chinese Journal of Medicinal Guide, 2022, 24(12): 1261-1264. doi: 10.3969/j.issn.1009-0959.2022.12.021
    [5]
    周忠丽, 曹丽君, 项再红, 等. 基于行动研究法构建的延续护理模式在冠心病患者中的应用[J]. 中国医药导报, 2023, 20(22): 175-179. https://www.cnki.com.cn/Article/CJFDTOTAL-YYCY202322036.htm

    ZHOU Z L, CAO L J, XIANG Z H, et al. Application of continuous nursing model based on action research in patients with coronary heart disease[J]. China Medical Herald, 2023, 20(22): 175-179. https://www.cnki.com.cn/Article/CJFDTOTAL-YYCY202322036.htm
    [6]
    鹿笑寒, 宋洁, 刘霖, 等. 蒙台梭利法在老年痴呆病人护理中的应用研究进展[J]. 护理研究, 2022, 36(1): 72-76. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ202201013.htm

    LU X H, SONG J, LIU L, et al. Research progress on the application effect of Montessori method in dementia elderly[J]. Chinese Nursing Research, 2022, 36(1): 72-76. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ202201013.htm
    [7]
    中国痴呆与认知障碍写作组, 中国医师协会神经内科医师分会认知障碍疾病专业委员会. 2018中国痴呆与认知障碍诊治指南(二): 阿尔茨海默病诊治指南[J]. 中华医学杂志, 2018, 98(13): 971-977. doi: 10.3760/cma.j.issn.0376-2491.2018.13.004

    China Dementia and Cognitive Disorder, Professional Committee of Cognitive Disorder, Neurologist Branch, Chinese Medical Doctor Association. 2018 Guidelines for the Diagnosis and Treatment of Dementia and Cognitive airment in China (Ⅱ): Guidelines for the Diagnosis and Treatment of Alzheimer' s Disease[J]. National Medical Journal of China, 2018, 98(13): 971-977. doi: 10.3760/cma.j.issn.0376-2491.2018.13.004
    [8]
    马丽霞, 陈颖, 许梦雅, 等. 简体中文版进食行为量表在老年痴呆患者中的信效度研究[J]. 实用医学杂志, 2016, 32(18): 3099-3102. doi: 10.3969/j.issn.1006-5725.2016.18.045

    MA L X, CHEN Y, XU M Y, et al. Reliability and validity of Eating Behavior Scale(Chinese Version) in old people with dementia[J]. The Journal of Practical Medicine, 2016, 32(18): 3099-3102. doi: 10.3969/j.issn.1006-5725.2016.18.045
    [9]
    刘文, 陈新霞, 梁蝴蝶, 等. 中文版爱丁堡痴呆进食评估量表的信度和效度研究[J]. 中华护理杂志, 2011, 46(5): 510-512. doi: 10.3761/j.issn.0254-1769.2011.05.032

    LIU W, CHEN X X, LIANG H D, et al. Reliability and validity of the Chinese Version of the Edinburgh Feeding Evaluation in Dementia scale[J]. Chinese Journal of Nursing, 2011, 46(5): 510-512. doi: 10.3761/j.issn.0254-1769.2011.05.032
    [10]
    CHRISTNER S, RITT M, VOLKERT D, et al. valuation of the nutritional status of older hospitalised geriatric patients: a comparative analysis of a Mini Nutritional Assessment (MNA) version and the Nutritional Risk Screening (NRS 2002)[J]. J Hum Nutr Diet, 2016, 29(6): 704-713. doi: 10.1111/jhn.12376
    [11]
    夏袁梅. 吞咽治疗仪联合安全吞咽管理对阿尔茨海默病进食困难患者吞咽功能及生命质量的影响[J]. 医疗装备, 2021, 34(10): 146-147. doi: 10.3969/j.issn.1002-2376.2021.10.081

    XIA Y M. Effect of swallowing therapy instrument combined with safe swallowing management on swallowing function and quality of life in patients with eating difficulties in Alzheimer' s disease[J]. Medical Equipment, 2021, 34(10): 146-147. doi: 10.3969/j.issn.1002-2376.2021.10.081
    [12]
    李晓方, 李雪芬, 康艳. 蒙台梭利训练改善阿尔兹海默病患者异常进食行为的行动研究[J]. 护理学杂志, 2021, 36(13): 95-98. doi: 10.3870/j.issn.1001-4152.2021.13.095

    LI X F, LI X F, KANG Y. An action research on Montessori training to improve abnormal eating behavior of patients with Alzheimer's disease[J]. Journal of Nursing Science, 2021, 36(13): 95-98. doi: 10.3870/j.issn.1001-4152.2021.13.095
    [13]
    张露露, 王娅平, 王凤玲, 等. 蒙台梭利法: 一种新型老年痴呆症非药物疗法[J]. 中国临床保健杂志, 2021, 24(6): 850-854. doi: 10.3969/J.issn.1672-6790.2021.06.029

    ZHANG L L, WANG Y P, WANG F L, et al. Montessori method: A new non-pharmaceutical therapy for dementia[J]. Chinese Journal of Clinical Healthcare, 2021, 24(6): 850-854. doi: 10.3969/J.issn.1672-6790.2021.06.029
    [14]
    BACKHOUSE T, DUDZINSKI E, KILLETT A, et al. Strategies and interventions to reduce or manage refusals in personal care in dementia: a systematic review[J]. Int J Nurs Stud, 2020, 109: 103640. DOI: 10.1016/j.ijnurstu.2020.103640.
    [15]
    杨娇娇, 李翊澜, 彭丽丽, 等. 基于痴呆需求代偿行为理论干预对老年痴呆异常进食行为的影响[J]. 全科护理, 2022, 20(31): 4414-4418. doi: 10.12104/j.issn.1674-4748.2022.31.023

    YANG J J, LI Y L, PENG L L, et al. Effect of intervention based on dementia demand compensatory behavior theory on abnormal eating behavior in senile dementia[J]. Chinese General Practice Nursing, 2022, 20(31): 4414-4418. doi: 10.12104/j.issn.1674-4748.2022.31.023
    [16]
    邓莹, 潘卫宇, 左珊珊, 等. 基于行动研究法的健康教育对全髋关节置换术患者术后康复的影响[J]. 中华全科医学, 2023, 21(1): 100-103. doi: 10.16766/j.cnki.issn.1674-4152.002822

    DENG Y, PAN W Y, ZUO S S, et al. Effects of health education based on action research method on the postoperative rehabilitation of patients with total hip replacement[J]. Chinese Journal of General Practice, 2023, 21(1): 100-103. doi: 10.16766/j.cnki.issn.1674-4152.002822
    [17]
    肖凤梅, 周平, 吕洋, 等. 记忆门诊老年期痴呆患者营养状况调查及其相关因素分析[J]. 中华老年医学杂志, 2021, 40(11): 1368-1371. doi: 10.3760/cma.j.issn.0254-9026.2021.11.006

    XIAO F M, ZHOU P, LYU Y, et al. Nutritional status of elderly dementia patients in a memory clinic and analysis of related factors[J]. Chinese Journal of Geriatrics, 2021, 40(11): 1368-1371. doi: 10.3760/cma.j.issn.0254-9026.2021.11.006
    [18]
    陈秋, 沈军, 喻秀丽, 等. 基于"自立支援"理念的养老机构认知功能障碍老年人经口饮食照护方案构建及应用[J]. 重庆医学, 2022, 51(7): 1156-1160. doi: 10.3969/j.issn.1671-8348.2022.07.015

    CHEN Q, SHEN J, YU X L, et al. Construction and application of oral diet care program for the elderly with cognitive impairment in elderly care institutions based on the concept of "self-supporting"[J]. Chongqing Medicine, 2022, 51(7): 1156-1160. doi: 10.3969/j.issn.1671-8348.2022.07.015
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