老年帕金森病患者合并焦虑、抑郁的心理护理研究

Mental Nursing for Aged Patients Suffered from Parkinson Disease Associated with Anxiety-depression

目的探讨心理护理在帕金森病患者合并焦虑、抑郁治疗中的作用。方法将2010年1月-2011年8月医院收治的帕金森病合并有焦虑、抑郁症状的患者68例随机分为心理护理组和常规护理组各34例。常规护理组进行常规药物治疗与饮食、生活等基础护理;心理护理组由经过培训的护士在常规治疗的基础上实施心理护理干预,内容包括情感关怀、个体化心理护理和各项能力的训练等。进行为期8周的疗效观察。采用医院焦虑、抑郁量表(HAD)观察两组患者在治疗护理前后焦虑、抑郁评分变化情况。结果治疗后心理护理组的焦虑评分为8.9±1.0,抑郁评分为11.8±1.8,而常规治疗组焦虑评分为13.1±1.8,抑郁评分为14.9±1.9。通过比较,心理护理组的焦虑、抑郁评分均较常规护理组明显降低(P<0.05)。结论在帕金森病积极治疗和基础护理的同时施以心理护理有助于帕金森患者焦虑、抑郁症状的减轻和缓解,值得临床推广。

Objective To investigate the effect of mental nursing for the aged patients suffered from Parkinson disease associated with anxiety-depression.Methods Sixty-eight aged patients suffered from Parkinson disease associated with anxiety-depression from 2010.1 to 2011.8 in our hospital was randomly divided into routine nursing group and mental nursing group.There were thirty-four patients in each group.In the routine nursing group,the patients received regular medicine treatment and basic nursing including diet and living.While in the mental nursing group,the patients received regular medicine treatment,basic nursing and mental nursing including mental concern,individual nursing and training for capacity by the trained nurses.All the patients were observed with the anxiety-depression measuring scale（HAD） in eight weeks.Results The scores of anxiety and depression were（8.9±1.0）and（11.8±1.8）after training in the mental nursing group.While those were（13.1±1.8）and（14.9±1.9） in basic nursing group.The scores of the mental nursing group were significantly lower than that of the routine nursing group（P0.05）.Conclusion Based on the medicine treatment and the routine nursing,the mental nursing can decrease the degree of anxiety-depression for the aged patients suffered from Parkinson disease.