基于ERG理论的帕金森病DBS专科病房的构建及应用研究

Construction and application of Parkinson's disease DBS specialist ward based on ERG theory

目的 探讨基于ERG(existence relatedness growth, ERG)理论的帕金森病(Parkinson's disease, PD)脑深部电刺激治疗(deep brain stimulation, DBS)专科病房的构建与应用效果。方法 选取2023年1-9月北京天坛医院神经外科接受DBS手术的132例PD患者为研究对象。采用随机数字表法分为对照组66例,干预组66例。对照组入住普通病房接受常规围手术期管理,干预组入住病区内设置的DBS专科病房,在对照组基础上给予基于ERG理论的专科病房护理模式,开展专科护理照护。评估2组患者的支持性服务未满足需求、焦虑抑郁情绪及住院满意度情况。结果 干预后干预组患者的支持性服务未满足需求得分及汉密尔顿抑郁评分均低于对照组,差异具有统计学意义(P<0.05),汉密尔顿焦虑评分及住院满意度评分无明显差异(P>0.05)。结论 在PD患者DBS围手术期期间,实施基于ERG理论的专科病房的构建与应用,有助于降低患者支持性服务未满足需求,降低患者的抑郁程度,指导临床护理工作。

Objective To explore the construction and application effect of deep brain stimulation(DBS)for Parkinson's disease(PD)special ward based on existence relatedness growth(ERG)theory.Methods A total of 132 patients with PD who underwent DBS at the department of neurosurgery,Beijing Tiantan Hospital from January to September 2023 were selected as the research objects.According to the random number table method,they were divided into the experimental group(66 cases)and the observation group(66 cases).The control group was admitted to the general ward for routine perioperative management,while the experimental group was admitted to the DBS specialist ward set up in the ward,and on the basis of the control group,the nursing mode of the specialist ward based on ERG theory was given to carry out specialist nursing care.The unmet need for supportive services,anxiety and depression,and hospitalization satisfaction were evaluated between 2 groups.Results After intervention,the scores of unmet need for support services and Hamilton depression score of patients in the intervention group were lower than those in the control group,with statistical significance differences(P<0.05),while there was no significant difference in Hamilton anxiety score and hospitalization satisfaction score(P>0.05).Conclusion s During the perioperative period of DBS in patients with PD,the construction and implementation of specialized wards based on ERG theory can help to reduce the unmet needs of patients'supportive services,and relieve patients'depression,which has high clinical application value.