综合心理护理对帕金森病患者的影响

The Effect of Comprehensive Mental Nursing in Patients with Parkinson Disease

目的研究综合心理护理对帕金森病患者的影响。方法将2007年9月～2009年10月在我院住院的帕金森病54例随机分为常规心理护理组和综合心理护理组,每组27例。采用汉密尔顿抑郁量表(HAMD)、诺丁汉健康问卷(NHP)和生活满意度Z量表(LSIZ)对两组护理前和护理后6个月进行抑郁状况和生活质量分析。结果两组护理前HAMD评分及各生活质量评分比较差异均无统计学意义(P>0.05)。心理护理后综合心理护理组HAMD评分明显低于常规心理护理组(P<0.05);综合心理护理组抑郁症状改善总有效率高于常规心理护理组(P<0.05);护理后两组精力、情绪反应、睡眠、躯体活动、亲属关系和社交生活评分明显低于护理前(P<0.05),综合心理护理组上述指标和常规心理护理组相比差异有统计学意义(P<0.05)。结论综合心理护理可有效改善帕金森病患者的抑郁状况和生活质量。

Objective To investigate the effect of comprehensive mental nursing in patients with Parkinson disease. Methods 54 patients with Parkinson disease admitted from September 2007 to October 2009 were randomly divided into conventional mental nursing group and comprehensive mental nursing group（27 each）. Psychological conditions and the quality of life in both groups were analyzed by HAMD, NHP, and LSIZ before and 6 months after mental nursing. Results Before mental nursing, there were no significant differences of HAMD scores between the two groups（P 〉0. 05）, but after mental nursing, they decreased significantly in both groups（ P 〈 0. 05 ）, and in comprehensive mental nursing group HAMD score was significantly than that in the conventional mental nursing group（P 〈 0. 05）. Improvement rate of depression symptoms in comprehensive mental nursing group was significantly higher than that in the conventional mental nursing group （P 〈 0. 05）. After mental nursing, the scores of energy, emotional reaction, sleeping, physical activity, family relationships and social life in both groups were significantly higher than that before mental nursing（ P 〈 0. 05 ）, and there were also significant differences in all the scores between the two groups （P 〈 0. 05）. Conclusion Comprehensive mental nursing can improve the psychological conditions in patients with Parkinson disease.