Observation of the application effect of protective motivation theory nursing combined with family follow-up hierarchical classification nursing in elderly patients with mild to moderate Parkinson's disease
观察保护动机理论护理联合家庭跟进式分级分类护理在老年轻中度帕金森病患者中的应用效果

摘要

目的 分析将保护动机理论（PMT）指导下的护理干预与家庭跟进式分级分类护理相结合，应用于老年轻中度帕金森病（PD）患者的临床效果。方法 选取我院2023年6月至2025年6月期间收治的轻中度老年PD患者共96例，均分为对照组（常规护理）与观察组（在此上实施PMT护理联合家庭跟进式分级分类护理）。结果 观察组在UPDRS-Ⅲ、PDQ-39评分HAMA评分方面均显著低于对照组，组间差异具有统计学意义（P<0.05）。结论 以PMT为框架的护理干预结合家庭跟进式分级分类护理模式，能够有效改善轻中度老年PD患者的运动功能，减轻焦虑情绪，提升生活质量。

Abstract

Objective To analyze the clinical effect of combining nursing interventions guided by the protective motivation theory (PMT) with home follow-up graded nursing in elderly patients with mild to moderate Parkinson’s disease (PD).
Methods A total of 96 mild to moderate elderly PD patients admitted to our hospital from June 2023 to June 2025 were selected and divided into a control group (conventional nursing) and an observation group (PMT nursing combined with home follow-up graded nursing).
Results The observation group had significantly lower UPDRS-III, PDQ-39, and HAMA scores than the control group, and the difference between the groups was statistically significant (P<0.05).
Conclusion   The nursing intervention based on PMT framework combined with home follow-up hierarchical classification nursing model can effectively improve the motor function, alleviate anxiety and improve the quality of life of mild to moderate elderly PD patients.