基于Siebens领域管理模式的延续性护理在帕金森病脑深部电刺激术后患者中的应用

Effects of continuous nursing based on Siebens domain management model in patients with Parkinson's disease after deep brain stimulation

目的探讨以Siebens领域管理模式为基础的延续性护理对帕金森病脑深部电刺激术后患者的影响。方法采用便利抽样法,选取2021年1月—2022年6月北京天坛医院功能神经外科接受脑深部电刺激术手术的169例帕金森病患者为研究对象。采用随机数字表法分为对照组84例,观察组85例,对照组使用常规延续护理,观察组在对照组基础上采取基于Siebens领域管理模式的延续性护理。比较两组患者出院6个月的日常生活能力量表、Morisky服药依从性、生活质量量表、帕金森病睡眠障碍量表和非预期程控率。结果出院6个月后,两组患者日常生活能力得分、生活质量评分和睡眠质量得分均较干预前提高(P<0.05);观察组患者服药依从性较干预前提高(P<0.05)。观察组患者的日常生活能力得分、服药依从性、生活质量评分和睡眠质量得分均高于对照组(P<0.05)。在出院后6个月内,观察组的非预期程控率低于对照组(P<0.05)。结论在脑深部电刺激治疗帕金森患者的治疗以及出院康复过程中,采取以Siebens领域管理模式为基础的延续性护理模式,有助于保证患者的用药依从性,改善术后睡眠质量和生活质量,降低患者的非预期程控次数,具有一定的临床应用价值。

Objective To explore the effect of continuous nursing based on Siebens domain management model in patients with Parkinson's disease after deep brain stimulation.Methods From January 2021 to June 2022,convenience sampling was used to select 169 Parkinson's disease patients who underwent deep brain electrical stimulation in the Functional Neurosurgery of Beijing Tiantan Hospital as the study subject.The patients were divided into a control group of 84 cases and an observation group of 85 cases using the random number table method.The control group received routine continuous nursing,while the observation group received the continuous nursing based on Siebens domain management model on the basis of the control group.This study compared the Activity of Daily Living(ADL)Scale,Morisky Medication Adherence Scale(MMAS),39-item Parkinson Disease Questionnaire(PDQ-39),Parkinson's Disease Sleep Scale(PDSS)scores,and unexpected program control rate between two groups of patients after six months of discharge.Results After six months of discharge,the ability of daily living score,quality of life score,and sleep quality score of both groups of patients improved compared to before intervention(P<0.05),and the medication adherence of the observation group patients improved compared to before intervention(P<0.05),and the differences were statistically significant.The ability of daily living score,medication adherence,quality of life score,and sleep quality score of the observation group patients after six months were higher than those of the control group,and the differences were statistically significant(P<0.05).Within six months after discharge,the unexpected program control rate of the observation group was statistically lower than that of the control group(P<0.05).Conclusions In the treatment and discharge rehabilitation process of Parkinson's patients treated with deep brain electrical stimulation,adopting continuous nursing based on the Siebens domain management model can help ensure patient medication compliance,improve postoperative sleep quality and quality of life,reduce unexpected program control frequency,and have certain clinical practice value.