基于保护动机理论的护理干预对老年帕金森病患者服药依从性和生命质量的影响

Effect of nursing intervention based on protection motivation theory on medication compliance and quality of life in elderly Parkinson patients

目的探讨基于保护动机理论的护理干预对老年帕金森病患者服药依从性和生命质量的影响。方法选取2017年8月至2018年8月住院的老年帕金森病患者共60例,采用随机数字表法将患者分为对照组和干预组各30例。对照组采用常规护理模式;干预组在对照组基础上接受以保护动机理论为指导的护理干预。运用患者服药依从性量表及39项帕金森病生命质量调查问卷对2组患者进行调查。结果干预后3个月,干预组及对照组患者服药依从性好的发生率分别为86.67%(26/30)和33.33%(10/30),2组比较差异有统计学意义(χ^2值为17.778,P<0.05),干预组患者生命质量总分及身体活动、日常生活行为、精神健康、屈辱感、社会支持、认知、交流及身体不适得分分别为(26.20±3.12)、(4.00±0.76)、(4.87±1.19)、(2.33±0.72)、(1.93±0.17)、(2.80±0.86)、(4.40±1.12)、(2.27±0.80)、(3.27±1.10)分,对照组分别为(39.20±2.88)、(7.40±1.12)、(7.13±0.83)、(3.80±0.68)、(2.87±0.64)、(4.27±0.96)、(5.20±0.68)、(3.73±0.70)、(5.07±0.80)分,2组比较差异有统计学意义(t值为-2.366~11.849,均P<0.05)。结论基于保护动机理论为指导的护理干预可提高老年帕金森病患者服药依从性,改善其生命质量。

Objective To explore the effect of nursing intervention based on protection motivation theory on medication compliance and quality of life in elderly patients with Parkinson′s disease.Methods From August 2017 to August 2018,60 elderly patients with Parkinson′s disease were selected.The patients were randomly divided into the control group(n=30)and the intervention group(n=30).In the control group,the routine nursing model was adopted,and the intervention group accepted the nursing intervention based on the protection motivation theory.Two groups of patients were investigated by using medication compliance scale and the 39-item Parkinson′s Disease Questionnaire.Results Three months after the intervention,86.67%(26/30)of the patients in the intervention group and 33.33%(10/30)of the patients in the control group had good compliance with the drug,and the difference between the two groups was statistically significant(χ^2 value was 17.778,P<0.05).The total scores of quality of life and scores of physical activity,daily life behavior,mental health,humiliation,social support,cognition,communication and physical discomfort in the intervention group were 26.20±3.12,4.00±0.76,4.87±1.19,2.33±0.72,1.93±0.17,2.80±0.86,4.40±1.12,2.27±0.80,3.27±1.10,the scores in the control group were 39.20±2.88,7.40±1.12,7.13±0.83,3.80±0.68,2.87±0.64,4.27±0.96,5.20±0.68,3.73±0.70,5.07±0.80,the difference between the two groups was statistically significant(t value was-2.366-11.849,P<0.05).Conclusion Nursing intervention based on the protection motivation theory can improve the compliance of elderly patients with Parkinson's disease and their quality of life.