以人性照护理论为指导的综合护理在帕金森病痴呆患者中的应用效果

Application effect of comprehensive nursing guided by humanistic care theory in patients with Parkinson􀆳s disease dementia

目的 探讨以人性照护理论为指导的综合护理在帕金森病痴呆患者中的应用效果。方法 回顾性分析2019年3月至2021年3月聊城市第四人民医院收治的100例帕金森病痴呆患者的临床资料,将患者按护理方法的不同分入对照组(49例)和观察组(51例)。对照组患者和观察组患者分别给予综合护理和以人性照护理论为指导的综合护理。比较2组患者的蒙特利尔认知评估量表(MoCA)、匹兹堡睡眠质量指数(PSQI)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、生活质量核心问卷(QLQ)和自主神经功能障碍量表(SCOPA-AUT)评分。结果 出院时,2组的MoCA评分均较入院时提高,PSQI、SAS和SDS评分均较入院时降低(P均<0.05),且观察组均优于对照组(P均<0.05)。出院3个月后,2组的QLQ评分均高于入院时,SCOPA-AUT评分均低于入院时(P均<0.05),且观察组均优于对照组(P均<0.05)。结论 以人性照护理论为指导的综合护理可改善帕金森病痴呆患者的认知功能、睡眠状态和神经功能,缓解其焦虑和抑郁情绪,提高其生活质量。

Objective To explore the application effect of comprehensive nursing guided by humanistic care theory in the patients with Parkinson􀆳s disease dementia.Methods The clinical data of 100 patients with Parkinson􀆳s disease dementia at Liaocheng Fourth People􀆳s Hospital from March 2019 to March 2021 were retrospectively analyzed.The patients were assigned into the control group(49 cases)and the observation group(51 cases)according to the different nursing methods.The control group and the observation group were given comprehensive nursing and comprehensive nursing guided by humanistic care theory,respectively.The scores of the Montreal Cognitive Assessment(MoCA),Pittsburgh Sleep Quality Index(PSQI),Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),Core Quality of Life Questionnaire(QLQ),and Scales for Outcomes in Parkinson􀆳s Disease-Autonomic(SCOPA-AUT)were compared between the two groups.Results At discharge,both groups had higher MoCA scores and lower PSQI,SAS,and SDS scores than those at admission(all P<0.05),and the observation group had better scores than the control group(all P<0.05).At 3 months after discharge,both groups had higher QLQ scores and lower SCOPA-AUT scores than those at admission(all P<0.05),and the observation group had better scores than the control group(all P<0.05).Conclusion Comprehensive nursing guided by humanistic care theory can improve the cognitive function,sleep status,and neurological function of patients with Parkinson􀆳s disease dementia,relieve their anxiety and depression,and improve their quality of life.