帕金森合并抑郁症的临床分析及护理  

Clinical analysis and nursing care of Parkinson with depression

作　　者：王倩[1] 曹睿[1] 蒋佳[1] 潘雅娟[1] 穆英[1] 

机构地区：[1]陕西省人民医院神经内科,西安710068

出　　处：《国际精神病学杂志》2015年第3期51-54,共4页Journal Of International Psychiatry

基　　金：陕西省科学技术研究发展项目(2012KRM31;国家临床重点专科建设项目)

摘　　要：目的探讨不同程度的帕金森合并抑郁症的发生率的差异并比较传统护理与综合护理对帕金森合并抑郁症的护理效果。方法选取我院2010年9月~2014年9月收治的200例帕金森患者,将200名患者随机分为观察组和对照组,每组100人,采用Webster症状评分表和HAMD（汉密尔顿抑郁量表）分别对对照组和观察组的患者进行帕金森症状和抑郁的评分,并探讨不同程度帕金森合并抑郁的发生率的差异。同时对照组患者采用综合护理方法,而观察组采用常规护理,比较两组患者治疗前后HAMD（汉密尔顿抑郁量表）的评分以评估治疗和护理的效果。结果对照组100例患者有72例合并抑郁症,观察组100例患者中有74例合并抑郁症,两者在统计学上无明显差异（P〉0.05）,但两组患者中,轻度帕金森合并抑郁症的发生率显著低于中重度帕金森患者,均有显著统计学差异（P〈0.05）。治疗前,两组患者的HAMD评分无显著统计学差异（P〉0.05）,治疗后,两组患者HAMD评分均下降,但对照组的评分显著低于观察组,两者有统计学差异（P〈0.05）,且对于中重度帕金森合并抑郁症患者综合护理的效果更明显。结论帕金森患者病情越重,合并抑郁症的发生率越高,且运用综合护理的方法有效缓解帕金森合并抑郁症患者的病情,对于中重度帕金森合并抑郁症患者尤甚,值得在临床上推广和应用。Objective To investigate the incidence of different degrees of Parkinson with depression and compare the effect of traditional nursing and Comprehensive nursing care of Parkinson with depression. Methods 200 cases of patients were selected from our hospital in September 2010 to September 2014. 200 patients were randomly divided into observation group and control group,each group of 100 people,Parkinson and depressive symptoms score were given according to Webster symptom score and HAMD（ Hamilton Depression Inventory） respectively in the control group and the observation group. We explore the different incidence of depression in different degree Parkinson patients. At the same time,the control group was given comprehensive nursing and the observation group with conventional care. We compare the two groups before and after treatment in patients with HAMD（ Hamilton Depression Inventory） score to evaluate the effect of the treatment and nursing. Results 100 cases of the control group has 72 cases of patients with depression,100 patients in observation group were in 74 patients with depression,they have no significant difference in Statistics（ P 〉0. 05）,but the two groups of patients,the incidence of mild Parkinson with depression was significantly lower than that of moderate to severe Parkinson patients had significant statistical difference（ P〈 0. 05）. Before treatment,two groups of patients with HAMD score have no significant difference（ P〉 0. 05）,after treatment,two groups of patients with HAMD scores decreased,but the control group scores were significantly lower than those in the observation group,both have statistical difference（ P 〈0. 05）,and the effect is more obvious to severe depression patients Parkinson with comprehensive nursing. Conclusion The more serious the Parkinson patients were,the higher incidence rate of depression,method and using the comprehensive nursing effectively relieve patients with Parkinson associated with depression severity,for moderate to severe depre

关 键 词：帕金森 抑郁症 发生率 综合护理 

分 类 号：R749[医药卫生—神经病学与精神病学]