预见性护理干预在帕金森病患者中的应用效果  

Application effect of predictive nursing intervention in patients with Parkinson′s disease

作　　者：颜婵[1] 万丽霞[1] 程薇[1] YAN Chan;WAN Li-xia;CHENG Wei(Department of Nursing,the Fourth Affiliated Hospital of Nanchang University,Jiangxi Province,Nanchang 330000,China)

机构地区：[1]南昌大学第四附属医院护理部,江西南昌330000

出　　处：《中国当代医药》2018年第32期146-148,共3页China Modern Medicine

基　　金：江西省教育厅科学技术研究项目(60177)

摘　　要：目的探讨预见性护理干预在帕金森病患者中的应用效果。方法选择2016年3月~2018年3月我院收治的60例帕金森病患者作为研究对象,随机分为观察组(n=30)和对照组(n=30)。对照组给予常规护理,观察组在常规护理的基础上给予预见性护理。护理6个月后评估两组患者的认知功能,使用HAMD、HAMA量表评价患者的抑郁、焦虑等情绪状况,使用ADL量表评估患者的生活质量。结果观察组患者干预后MoCA量表评分显著高于对照组(P<0.05)。观察组患者干预后视空间与执行能力、命名能力、语言能力、延迟能力及定向力均高于对照组,差异均有统计学意义(P<0.05)。两组患者干预前HAMA、HAMD、ADL评分比较,差异无统计学意义(P>0.05);观察组患者干预后HAMA、HAMD、ADL评分均低于对照组,差异均有统计学意义(P<0.05)。结论对帕金森病患者开展预见性护理干预,可降低患者的焦虑抑郁程度,提高患者的认知功能,改善患者的生活质量。Objective To explore the application effect of predictive nursing intervention in patients with Parkinson′s disease. Methods Sixty patients with Parkinson′ s disease admitted to our hospital from March 2016 to March 2018 were selected as research objects, they were randomly divided into observation group（n=30） and control group（n=30）.The control group was given routine nursing, while the observation group was given predictive nursing on the basis of routine nursing. After 6 months of nursing, the cognitive function of the two groups was assessed, the depression and anxiety were assessed with HAMD and HAMA scales, and the quality of life was assessed with ADL scale. Results The scores of MoCA scale in the observation group were significantly higher than those in the control group（P〈0.05）. The visual space and executive ability, naming ability, language ability, delayed ability and orientation ability of the observation group were higher than those of the control group, the differences were statistically significant（P〈0.05）. There was no significant difference in the scores of HAMA, HAMD and ADL between the two groups before intervention（P〉0.05）, the scores of HAMA, HAMD and ADL in the observation group were lower than those in the control group, the differences were statistically significant（P〈0.05）. Conclusion Predictive nursing intervention for patients with Parkinson′s disease can reduce the degree of anxious and depression, improve cognitive function and improve the quality of life of patients.

关 键 词：帕金森病 预见性护理 抑郁情绪 认知功能 

分 类 号：R742.5[医药卫生—神经病学与精神病学]