老年帕金森病非运动症状与日常生活自理能力的关系及护理研究

Relationship and nursing study between non motor symptoms and self-care ability of daily life for patients with elderly Parkinson disease

目的探讨有效护理老年帕金森病(PD)患者的方法,以减少护理意外的发生并提高老年PD患者的生活质量。方法将120例PD患者随机分为观察组和对照组,并在两组患者第一次调查后的第3个月、第6个月再次通过问诊、抑郁量表、焦虑量表形式,比较两组老年PD患者非运动症状、日常生活处理能力是否有差异。结果 PD患者广泛存在非运动症状,运用针对性护理方案6个月后,患者PD非运动症状不同程度的缓解,生活自理能力提高,差异有统计学意义。结论根据ADL分级针对性制订护理方案,运用护理干预及心理疏导,可缓解老年帕金森患者部分非运动症状,减少护理意外的发生,并提高老年PD患者生活质量。

Objective To observe the relationship between non motor symptoms for elderly patients with Parkin son＇s disease （PD） and self-care ability of daily life （ADL） and to study the effective nursing care for elderly patients with PD in order to reduce the nursing accidents and improve the quality of life. Method 120 elderly patients with PD were randomly divided into intervention group and control group. The first survey was conducted for two groups of patients after 3 months, 6 months again through the interrogation. The depression scale, anxiety scale form was used to compare the difference in the self-care ability of daily life and non motor symptoms for elderly patients with PD between the two groups. Result Elderly patients with PD was widespread non motor symptoms. The degrees of non motor symptoms and self-care ability of daily life was improved 6 months after nursing program, there was significant difference before and after the intervention. Conclusion According to ADL classification of targeted nursing scheme, using the nursing intervention and psychological counseling, can alleviate the elderly non motor symptoms,reduce the nursing accidents and improve the quality of life for elderly patients with PD.