帕金森患者应用问题导向干预模式的护理效果及对认知功能与预后的影响
Nursing Effect of Problem-Oriented Intervention Model and Its Effect on Cognitive Function and Prognosis in Patients with Parkinson’s Disease
摘要: 目的：探讨帕金森患者应用问题导向干预模式的护理效果及对认知功能与预后的影响。方法：本次研究的对象为2017年1月到2019年4月期间接受治疗的98例帕金森患者，患者按照1:1的比例进行平均分组，即为观察组与对照组，将其中49例采用常规护理的患者纳入对照组，另外49例在常规护理基础上，采用问题导向为主的护理干预模式的患者纳入观察组，对比两组临床症状及日常生活能力，对比两组认知功能改善情况，对比两组焦虑、抑郁情绪，比较两组睡眠质量改善情况、生活质量改善情况。结果：护理前，患者临床症状及日常生活能力评分无明显差异(P > 0.05)；不同护理干预实施后，观察组患者临床症状评分明显低于对照组，日常生活能力评分明显高于对照组(P < 0.05)；采用不同护理方式后，两组患者SAS及SDS情绪均得以改善，且观察组改善情况明显优于对照组(P < 0.05)；不同护理干预实施后，观察组睡眠质量提升情况明显优于对照组，且认知能力评分明显高于对照组(P < 0.05)；不同护理方式实施后，观察组患者生活质量改善显著，评分明显高于对照组(P < 0.05)。结论：针对帕金森患者，应用问题导向为主的护理干预模式，能改善患者临床症状，提高患者生活能力，提高患者认知能力，改善焦虑及抑郁情绪，改善睡眠质量，提高生活质量，极具临床推广价值。
Abstract: Objective: To explore the nursing effect of problem-oriented intervention model and its effect on cognitive function and prognosis in patients with Parkinson’s disease (PD). Methods: The subjects of this study were 98 patients with Parkinson’s disease who received treatment from January 2017 to April 2019. The patients were divided into observation group and control group according to the proportion of 1:1. 49 patients who adopted routine nursing were included in the control group, and 49 patients who adopted problem-oriented nursing intervention model were included in the observation group on the basis of routine nursing. The clinical symptoms and ability of daily living were compared between the two groups, and the improvement of cognitive function was compared between the two groups. Compared with the two groups of anxiety and depression, the improvement of sleep quality and quality of life in the two groups were compared. Results: Before nursing, there was no significant difference in clinical symptoms and ability of daily living (P > 0.05), but after different nursing interventions, the score of clinical symptoms in the observation group was significantly lower than that in the control group, and the score of the ability of daily living in the observation group was significantly higher than that in the control group (P < 0.05). After different nursing methods, the mood of SAS and SDS in the two groups was improved, and the improvement in the observation group was significantly better than that in the control group (P < 0.05), and the improvement of sleep quality in the observation group was significantly better than that in the control group after different nursing interventions. In the control group, the score of cognitive ability was significantly higher than that in the control group (P < 0.05), and after the implementation of different nursing methods, the quality of life of the patients in the observation group was significantly improved, and the score was significantly higher than that in the control group (P < 0.05). Conclusion: For patients with Parkinson’s disease, the application of problem-oriented nursing intervention model can improve the clinical symptoms, improve the living ability of patients, improve the cognitive ability of patients, improve anxiety and depression, improve the quality of sleep, improve the quality of life, which is of great clinical value.
文章引用：陈虹, 张佳. 帕金森患者应用问题导向干预模式的护理效果及对认知功能与预后的影响[J]. 护理学, 2020, 9(1): 13-18. https://doi.org/10.12677/NS.2020.91003

参考文献

[1] 中华医学会神经病学分会帕金森病及运动障碍学组, 中国医师协会神经内科医师分会帕金森病及运动障碍专业委员会. 中国帕金森病的诊断标准(2016版)[J]. 中华神经科杂志, 2016, 49(4): 268-271.
[2] 王蒙蒙, 于涛, 石江伟, 等. 帕金森病认知功能障碍的相关因素分析[J]. 现代中西医结合杂志, 2016, 25(27): 2968-2971.
[3] 房进平, 冯涛. 帕金森病焦虑的发病机制及研究进展[J]. 中华老年心脑血管病杂志, 2016, 18(7): 774-776.
[4] 王雁, 杨月嫦, 吴惠涓, 等. 帕金森病患者睡眠的特点及影响因素[J]. 中华老年心脑血管病杂志, 2016, 18(7): 74-76.
[5] 高忠明, 何吉庆, 姜海波, 等. 帕金森病患者生存质量及影响因素分析[J]. 中国慢性病预防与控制, 2016, 24(10): 770-772.
[6] 马金霖. 老年帕金森氏病病人抑郁、焦虑的临床评估及危险因素分析[J]. 中西医结合心脑血管病杂志, 2016, 14(6): 650-653.
[7] 管细红, 刘芸, 张琼, 等. 太极拳训练对帕金森患者心理健康及生活质量的影响[J]. 中国健康心理学杂志, 2016, 24(10): 1538-1541.
[8] 刘红梅, 赵蓓, 刘小玲, 等. 积极心理干预对帕金森患者抑郁情绪及认知功能的影响[J]. 国际精神病学杂志, 2016, 80(3): 470-473.
[9] 武冬冬, 李淑华, 金丽莹, 等. 帕金森病伴视幻觉的影响因素及与睡眠障碍的关系[J]. 中华医学杂志, 2016, 96(13): 1016-1020.
[10] 刘惠苗, 李冬, 仇福成, 等. 情绪对轻中度帕金森病患者认知功能的影响[J]. 中国现代神经疾病杂志, 2016, 16(2): 78-79.
[11] 曹建波. 探讨优质护理服务对帕金森患者生活质量及对护理服务满意度的影响[J]. 中国医药指南, 2016, 14(10): 204-205.
[12] 谭杰, 田爱敏. 老年帕金森病患者合并焦虑、抑郁的心理护理研究[J]. 世界最新医学信息文摘, 2016, 16(33): 89-91.
[13] 韩秀丽, 胡雪玲, 张婉萍, 等. 积极心理护理干预对帕金森病合并抑郁和认知功能障碍患者的临床效果[J]. 国际精神病学杂志, 2016, 114(6): 1141-1144.
[14] 潘瑞明, 林碧清. 护理干预对帕金森患者生活质量、认知功能及情感障碍影响研究[J]. 现代医药卫生, 2018, 50(2): 272-274.
[15] 李小琴, 刘思思, 刘晶. 问题导向干预模式护理对帕金森老年患者心理、睡眠及生活质量的影响[J]. 神经疾病与精神卫生, 2017, 60(6): 89-90.

为你推荐