4C中医延续性干预对帕金森病患者心理情绪、运动功能的影响

Effect of 4C traditional Chinese medicine continuous nursing on psychological mood and motor function in patients with Parkinson's disease

目的观察4C中医延续性干预对帕金森病患者心理情绪、运动功能的影响。方法将112例帕金森病患者按照随机数字表法分为2组,对照组56例进行常规干预,观察组56例进行4C中医延续性干预。2组均干预3个月,比较2组干预前后认知功能蒙特利尔认知评估量表(MoCA)评分、日常生活活动能力(ADL)评分、心理情绪[抑郁自评量表(SDS)、焦虑自评量表(SAS)]评分、运动功能[帕金森病评价量表第3部分(UPDRS-Ⅲ)、Berg平衡量表]评分、自我感受负担量表(SPBS)评分、自我护理能力量表(ESCA)评分、匹兹堡睡眠质量指数(PSQI)评分变化情况,并统计2组遵医率、家属满意率。结果2组干预后MoCA、ADL评分均较本组干预前升高(P<0.05),且观察组干预后均高于对照组(P<0.05)。2组干预后SDS、SAS评分均较本组干预前降低(P<0.05),且观察组干预后均低于对照组(P<0.05)。2组干预后UPDRS-Ⅲ评分均较本组干预前降低(P<0.05),Berg评分均升高(P<0.05),且观察组干预后UPDRS-Ⅲ评分低于对照组(P<0.05),Berg评分高于对照组(P<0.05)。2组干预后SPBS评分均较本组干预前降低(P<0.05),ESCA评分均升高(P<0.05),且观察组干预后SPBS评分低于对照组(P<0.05),ESCA评分高于对照组(P<0.05)。2组干预后PSQI评分均较本组干预前降低(P<0.05),且观察组干预后均低于对照组(P<0.05)。观察组遵医率、家属满意率均高于对照组(P<0.05)。结论对帕金森病患者实施4C中医延续性干预能够有效改善患者认知功能、心理情绪,减轻患者自我感受负担,提升患者日常生活能力、运动功能及自护能力,改善患者睡眠质量,患者家属更加满意。

Objective To observe the effect of 4C traditional Chinese medicine(TCM)continuous nursing on psychological mood and motor function in patients with Parkinson's disease(PD).Methods Totally 112 PD patients were assigned to the control group(n=56)and the observation group(n=56),in which they received routine intervention and 4C TCM continuous nursing,respectively.Both groups intervened for 3 months,Montreal Cognitive Assessment(MoCA),Activities of daily living(ADL),psychological mood(Self-rating Depression Scale[SDS],Self-rating Anxiety Scale[SAS]),motor function(the Unified Parkinson's Disease Rating Scale partⅢ[UPDRS-Ⅲ],Berg Balance Scale[BBS]),self perceived burden scale(SPBS),self-nursing ability scale(ESCA),Pittsburgh Sleep Quality Index(PSQI)score,compliance rate,family satisfaction rate were included as comparators.Results After intervention,the scores of MoCA and ADL in the two groups were significantly increased(P<0.05),which in the observation group were more pronounced compared with the control group(P<0.05).The scores of SDS and SAS in the two groups were significantly decreased(P<0.05),the decrease was more common in the observation group(P<0.05).Significantly Decreased UPDRS-Ⅲscores,and significantly increased BBS scores were detected in the two groups after intervention(all P<0.05),and the observation group was superior to the control group for UPDRS-Ⅲand BBS scores(all P<0.05).Significantly decreased SPBS scores,and significantly increased ESCA scores were found in the two groups after the intervention(all P<0.05),and the different was significant between groups for the above indexes(all P<0.05).After intervention,the PSQI scores in the two groups were significantly decreased(P<0.05),and the reduction in the observation group was more prevalent(P<0.05).The compliance rate and family satisfaction rate in the observation group were significantly higher than those in the control group(P<0.05).Conclusion For PD patients,4C TCM continuous nursing can effectively improve cognitive function,psychological mood,reduce self-perceived burden,improve ADL,motor function,self-nursing ability,sleep quality and family satisfaction rate.