基于老年综合评估的护理干预对老年帕金森病患者生活质量的影响

Effect of nursing intervention based on geriatric comprehensive assessmenton quality of life in elderly patients with Parkinson ' s disease

目的 老年帕金森病(PD)患者的生活质量不容乐观,也是临床护理研究的热点。本研究探讨基于老年综合评估(CGA)的护理对其生活质量的干预效果。方法 选取2021年8月—2022年8月温州医科大学附属第一医院神经内科收治的120例老年PD患者,采用随机数字表法分为对照组和观察组各60例。因2组研究期间各失访2例,予以剔除,每组均按58例进行统计和数据分析。对照组进行常规护理,观察组进行基于CGA的护理干预,均持续干预和观察至出院6个月。比较2组日常生活能力(ADL)和帕金森病生活质量量表(PDQ-39)评分情况。结果 观察组入院时、出院时和出院1、6个月的ADL评分均呈明显升高趋势(P<0.05),且出院1、6个月的ADL评分[(90.17±13.95)分、(91.18±13.05)分]均明显高于对照组[(82.16±18.69)分、(79.57±22.19)分],差异有统计学意义(P<0.05);2组出院6个月PDQ-39评分均较入院时明显下降,且观察组出院6个月的PDQ-39评分[(29.71±8.97)分]明显低于对照组[(45.33±10.84)分],差异有统计学意义(P<0.05)。结论 基于CGA的护理干预可有效提高老年PD患者的日常生活能力及生活质量,值得临床使用。

Objective The quality of life of older people with Parkinson's disease(PD)is not optimistic and is the focus of clinical nursing research.This study investigated the effect of a nursing intervention based on a nursing intervention based on a comprehensive geriatric assessment(CGA)on their quality of life.Methods A total of 120 elderly PD patients admitted to the Department of Neurology,the First Affiliated Hospital of Wenzhou Medical University from August 2021 to August 2022 were selected and divided into control group and observation group,with 60 cases in each group by random number table method.As 2 cases were lost to follow-up in each of the two groups during the study period,statistics and data analysis were performed on 58 cases in each group.The control group received routine care,the observation group received the CGA-based care intervention,and the intervention and observation continued until 6 months after discharge.Activities of daily living(ADL)and the 39-item Parkinson disease questionnaire(PDQ-39)scores were compared between the two groups.Results The ADL scores of the observation group were significantly increased at admission,discharge,1 month and 6 months after discharge(P<0.05).The ADL scores[(90.17±13.95)points,(91.18±13.05)points]at 1 and 6 months after discharge were significantly higher than those of the control group[(82.16±18.69)points,(79.57±22.19)points]and the difference was statistically significant(P<0.05).The PDQ-39 scores of both groups at 6 months after discharge were significantly lower than those at admission,and the PDQ-39 scores of the observation group at 6 months after discharge[(29.71±23.97)points]were significantly lower than those of the control group[(45.33±21.84)points],with statistical significance(P<0.05).Conclusion A nursing intervention based on CGA can effectively improve activities of daily living and quality of life in older people with PD,which is worthy of clinical application.