针对性护理对帕金森病患者自理能力、负性情绪的影响

Effect of targeted nursing on self-care ability and negative emotions in patients with Parkinson's disease

目的探讨针对性护理对帕金森病患者自理能力、负性情绪的影响,以期为临床治疗提供参考。方法选取2019年9月—2021年9月河南省平顶山市第一人民医院接诊的138例帕金森病患者为研究对象。采用随机数字表法,将患者分为对照组(n=65)与研究组(n=73)。对照组患者采用常规护理进行干预,研究组患者在对照组基础上采用针对性护理干预。比较2组患者护理前及出院时健康状况调查简表(SF-36)、帕金森病评分-Ⅲ量表(UPDRS-Ⅲ)、Berg评分量表(BBS)、患者自理能力评估量表(Barthel指数)、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分。出院时,采用本院自制的护理满意度调查量表评估2组患者护理满意度。比较2组患者住院期间并发症发生情况。结果护理前,2组患者SF-36中躯体活动、认知功能、社会功能、角色功能、情绪功能评分比较,差异无统计学意义(P>0.05)。出院时,2组患者SF-36中躯体活动、认知功能、社会功能、角色功能、情绪功能评分均高于护理前,且研究组高于对照组,差异均有统计学意义(P<0.05)。护理前,2组患者UPDRS-Ⅲ及BBS评分比较,差异无统计学意义(P>0.05)。出院时,2组患者UPDRS-Ⅲ评分低于护理前,且研究组低于对照组,差异均有统计学意义(P<0.05)。出院时,2组患者BBS评分高于护理前,且研究组高于对照组,差异均有统计学意义(P<0.05)。护理前,2组患者Barthel指数及HAMA、HAMD评分比较,差异无统计学意义(P>0.05)。出院时,2组患者Barthel指数均高于护理前,且研究组高于对照组,差异均有统计学意义(P<0.05)。出院时,2组患者HAMA、HAMD评分均低于护理前,且研究组低于对照组,差异均有统计学意义(P<0.05)。研究组患者护理总满意度高于对照组,差异具有统计学意义(P<0.05)。研究组患者并发症发生率低于对照组,差异具有统计学意义(P<0.05)。结论针对性护理干预在帕金森病患者护理中的应用效果显著,可提高患者生活质量及护理满意度,改善患者临床症状及不良情绪,值得推广应用。

Objective This paper aims to explore the effect of targeted nursing on self-care ability and negative emotions in patients with Parkinson's disease to provide evidence for clinical treatment.Methods A total of 138 patients with Parkinson's disease admitted to the First People's Hospital of Pingdingshan from September 2019 to September 2021 were selected as the study participants.They were assigned to the control group(n=65)and the study group(n=73)by random number table.Patients in the control group received routine nursing;patients in the study group received targeted nursing intervention on the basis of the control group.The scores of the 36-Item Short-Form Health Survey(SF-36),Parkinson's Disease Rating ScaleⅢ(UPDRS-Ⅲ),Berg Balance Scale(BBS),Barthel index,Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD)were compared between the two groups before nursing and at discharge.At discharge,the degree of satisfaction with nursing was assessed in the two groups using a self-made nursing satisfaction survey scale from our hospital.Complications during hospitalization were compared between the groups.Results Before nursing,there was no significant difference in the SF-36 subscale scores(physical functioning,cognitive function,social functioning,role physical,and role emotional)between the two groups(P>0.05).At discharge,the SF-36 subscale scores of physical functioning,cognitive function,social functioning,role physical,and role emotional were significantly higher in the 2 groups than before nursing,and were significantly higher in the study group than the control group(P<0.05).Before nursing,there was no significant difference in UPDRS-Ⅲand BBS scores between the two groups(P>0.05).At discharge,the UPDRS-Ⅲscore was significantly decreased in the 2 groups,and the scores in the study group were significantly lower than that in the control group(P<0.05).At discharge,the BBS scores of patients in the 2 groups were significantly increased,and the scores in the study group were significantly higher than those in the control group(P<0.05).Before nursing,there was no significant difference in Barthel index,HAMA and HAMD scores between the two groups(P>0.05).At discharge,the patients'Barthel index in both groups was significantly increased,and the index in the study group was significantly higher than that in the control group(P<0.05).At discharge,the HAMA and HAMD scores of the two groups were significantly decreased,and scores in the study group were significantly lower than those in the control group(P<0.05).The overall degree of satisfaction with nursing in the study group was significantly higher than that in the control group(P<0.05).The incidence rate of complications in the study group was significantly lower than that in the control group(P<0.05).Conclusion For the nursing of patients with Parkinson's disease,targeted nursing intervention is effective in raising the patients'quality of life and degree of satisfaction with nursing and improving their clinical symptoms and adverse emotions.These benefits hold promise for a wider application of this procedure clinically.