综合护理在帕金森病患者中的应用效果

徐艳 张欢 鞠璐羽

[摘要]目的 探讨综合护理在帕金森病（PD）患者中的应用效果。方法 选取2017年3月～2019年2月我院收治的180例PD患者作为研究对象，按照随机数字表法分为观察组（n=90）和对照组（n=90）。观察组采用综合护理方法，对照组采用常规护理方法。比较两组的生活质量、运动功能评分和焦虑、抑郁等心理状态情况。结果 观察组的心理功能、躯体功能、物质生活功能和社会功能评分高于对照组，差异均有统计学意义（P<0.05）;观察组的手动能力、走路姿势和语言速度评分低于对照组，差异均有统计学意义（P<0.05）;观察组护理后焦虑、抑郁评分低于对照组，差异均有统计学意义（P<0.05）。结论 对PD患者采取综合护理可明显提高患者的生活质量和运动功能，有效缓解患者焦虑、抑郁等负面情绪，值得临床应用和推广。

[关键词]综合护理;常规护理;帕金森病;生活质量

[中图分类号] R473.74          [文献标识码] A          [文章编号] 1674-4721（2020）6（b）-0238-03

[Abstract] Objective To explore the application effect of comprehensive nursing in patients with Parkinson′s disease （PD）. Methods A total of 180 PD patients admitted to our hospital from March 2017 to February 2019 were selected as research objects， according to random number table method， they were divided into observation group （n=90） and control group （n=90）. Comprehensive nursing method was used for the observation group， the control group was used conventional nursing method. The quality of life， sports function of the two sets of scores and anxiety， depression and other psychological state were compared between two groups. Results The scores of psychological function， physical function， material life function and social function in the observation group were higher than those in the control group， with statistical differences （P<0.05）. The scores of manual ability， walking posture and language speed in the observation group were lower than those in the control group， and the differences were statistically significant （P<0.05）. The scores of anxiety and depression in the observation group were lower than those in the control group， and the differences were statistically significant （P<0.05）. Conclusion Comprehensive nursing for PD can significantly improve the quality of life and motor function of patients， effectively relieve patients′ anxiety， depression and other adverse emotions， it is worthy of wide application and promotion in clinical practice.

[Key words] Comprehensive nursing; Routine nursing; Parkinson′s disease; Quality of life

帕金森病（PD）又稱为震颤麻痹，是一种常见神经系统变性疾病，多见于老年人，平均发病年龄为60岁，患者主要临床表现为静止性震颤、肌肉强直、行动迟缓和姿势步态障碍等，常伴疲劳感、情绪低落、焦虑、睡眠障碍、认知障碍等非运动症状，对患者和家属的生活质量有严重影响[1]。综合护理为近年来国内外新兴的全方位护理模式，主要通过运动、生活、用药和心理多方面护理，使患者得到全面照护，促进疾病的康复[2]。本研究对综合护理方式对帕金森病患者的生活质量进行研究，现报道如下。

1资料与方法