帕金森病患者抑郁调查及护理干预

Investigation on depression of patients with Parkinson's disease and nursing intervention

目的了解帕金森病患者抑郁的发生率及护理干预效果。方法采用汉密顿抑郁量表(HAMD)对51例帕金森病患者及44例健康正常老年人进行测评,并对伴有抑郁的帕金森病患者进行护理干预,1月后再进行量表评定。结果本组帕金森病患者抑郁发生率为57%(29/51)。两组患者HAMD评分比较有显著性差异(P<0.05或P<0.001)。帕金森病伴抑郁患者护理干预前后HAMD评分显示:除体质量和日夜变化外,其余5项差异有统计学意义(P<0.05或P<0.001)。结论超过1/2的帕金森病患者合并抑郁,护理干预能明显改善帕金森患者的抑郁状态。

Objective To investigate the prevalence of depression in patients with Parkinson's disease (PD) and effect of nursing intervention. Methods Hamilton Depression Rating Scale (HAMD) was used to estimate 51 patients with Parkinson's disease and 44 health aged people,and patients with depression were given nursing intervention. After one month,they were assessed by scale. Results The depression was found in 29 of 51 patients with PD (57%). There was significant difference in HAMD scores between two groups. (P<0.05 or P<0.001).The HAMD scores of patients with PD before and after nursing intervention showed:except diurnal variation and loss of weight,the other 5 items all had statistical significances (P<0.05 or P<0.001). Conclusion More than 50% patients with Parkinson's disease have depression disorders and nurse intervention can alleviate symptoms of depression.