帕金森病患者伴睡眠障碍的护理研究进展

Research Progress on Nursing Care for Sleep Disorders in Patients with Parkinson’s Disease

摘要: 睡眠障碍是帕金森病(Parkinson’s disease, PD)极为常见且严重的非运动症状，不仅显著削弱患者的生活质量与日常功能，也给患者及其照护者带来沉重的身心负担。因此，实施有效的临床护理干预对改善该类症状具有重要价值。本文在概述帕金森病临床现状的基础上，以护理程序为框架，系统梳理了中医治疗、运动疗法、健康教育及护理支持等主要护理策略，着重阐释护士在评估、计划、实施与评价各环节中的具体职责，在健康教育部分引入Orem自理模式作为理论依据，并在此基础上构建分层护理管理模型、提出具体研究方向，旨在为临床医护人员提供切实可行的操作指引，助力其早期识别并科学管理睡眠障碍，进而改善患者睡眠质量、缓解伴随症状，最终全面提升患者的生活品质。

Abstract: Sleep disorder is a very common and serious non-motor symptom of Parkinson’s disease (PD). It not only significantly weakens the quality of life and daily function of patients, but also brings heavy physical and mental burden to patients and their caregivers. Therefore, the implementation of effective clinical nursing intervention is of great value to improve the symptoms. On the basis of summarizing the clinical status of Parkinson’s disease, this paper systematically reviews the main nursing strategies, such as traditional Chinese medicine treatment, exercise therapy, health education, and nursing support based on the framework of nursing procedures. It focuses on the specific responsibilities of nurses in the evaluation, planning, implementation, and evaluation of each link. Orem’s self-care model is introduced as the theoretical basis in the health education part. On this basis, a hierarchical nursing management model is constructed, and specific research directions are proposed. It aims to provide practical and feasible operational guidance for clinical medical staff, help them to identify and scientifically manage sleep disorders in the early stage, and then improve the sleep quality of patients and relieve accompanying symptoms, eventually improving the quality of life of patients.