International Journal of Medicine and Data
International Journal of Medicine and Data. 2026; 10: (2) ; 10.12208/j.ijmd.20260061 .
总浏览量: 103
昆明医科大学第二附属医院神经内科 云南昆明
*通讯作者: 李春琼,单位:昆明医科大学第二附属医院神经内科 云南昆明; ;
目的 针对帕金森患者行综合护理干预,观察其对患者焦虑抑郁心理、生活质量及护理满意度的影响。方法 纳入我院帕金森病例均来源于2025年1月-2025年12月,将164例患者随机分为n=82的对照组与观察组,分别行常规护理与联合综合护理干预。对比两组心理状态、生活质量、医学应对方式问卷(MCQM)、护理满意度。结果 统计学处理结果显示,焦虑自评量表(Self-rating anxiety scale, SAS)、抑郁自评量表(Self-rating Depression Scale, SDS)、MCQM评分在护理前的差异均不明显,P>0.05;护理后,患者各项评分均改善,且观察组干预改善效果更明显(P<0.05);患者生活质量评分在未实施护理前比较P>0.05,护理后均优于对照组(P<0.05);患者护理满意度比较观察组高于对照组(P<0.05)。结论 综合护理干预可缓解帕金森患者的焦虑抑郁情绪,提高患者生活质量,改善其应对方式,患者护理满意度增高。
Objective To conduct comprehensive nursing intervention for patients with Parkinson’s disease and observe its impact on their anxiety and depression, quality of life, and nursing satisfaction. Methods All Parkinson’s disease cases in our hospital were collected from January 2025 to December 2025. 164 patients were randomly divided into a control group (n=82) and an observation group (n=82), and received routine care and combined comprehensive nursing intervention respectively. The psychological state, quality of life, Medical Coping Questionnaire (MCQM), and nursing satisfaction of the two groups were compared. Results Statistical analysis showed that the differences in Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), and MCQM scores before nursing were not significant, P>0.05; after nursing, the scores of all items of the patients improved, and the intervention effect of the observation group was more obvious (P<0.05); the quality of life score of the patients before implementing nursing was compared and P>0.05, and after nursing, it was better than that of the control group (P<0.05); the nursing satisfaction of the patients was compared and that of the observation group was higher than that of the control group (P<0.05). Conclusion Comprehensive nursing intervention can alleviate the anxiety and depression of patients with Parkinson’s disease, improve their quality of life, improve their coping styles, and increase the patient’s nursing satisfaction.
[1] 孙陈希,张子豪,王慧青,等. 帕金森病合并抑郁、焦虑的诊治及发病机制研究进展[J]. 中华神经医学杂志,2024, 23(6):631-637.
[2] 董旭,沈莉. 帕金森病伴发抑郁或焦虑的危险因素分析[J]. 现代医学,2025,53(2):271-278.
[3] 夏雪芬,杨碎丽,刘炯炯,等. 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[J]. 中华全科医学,2024,22(1):163-167.
[4] 中华医学会神经病学分会帕金森病及运动障碍学组,中国医师协会神经内科医师分会帕金森病及运动障碍病专业委员会. 帕金森病前驱期诊断研究标准中国专家共识[J]. 中华老年医学杂志,2019,38(8):825-831.
[5] Screening for anxiety and depression: reassessing the utility of the Zung scales[J]. BMC Psychiatry,2017,17(1):1-8.
[6] Suarez, Lidia, Tay,et al. Psychometric properties of the World Health Organization WHOQOL-BREF Quality of Life assessment in Singapore[J]. Quality of life research: An international journal of quality of life aspects of treatment, care and rehabilitation,2018,27(11):2945-2952.
[7] 沈晓红,姜乾金.医学应对方式问卷中文版701例测试报告[J].中国行为医学科学, 2000, 9(1):18-18.
[8] 郭玉莲,程莲,刘娜. 综合护理干预对帕金森病患者围术期生活质量及运动功能的影响[J]. 齐鲁护理杂志,2020, 26(6):37-39.
[9] 许慧慧,罗晓华,周亚捷,等. 综合护理干预在老年帕金森合并抑郁患者中的临床效果研究[J]. 国际精神病学杂志,2021,48(3):540-542.
[10] 李伟,公维军,高磊,等. 《欧洲帕金森病物理治疗指南》康复方案解读[J]. 中国康复理论与实践,2020,26(5):614-620.
[11] 贺新源,邢红霞,贾杰. 老年帕金森病功能障碍全周期康复专家共识[J]. 中国医刊,2023,58(2):134-140.
[12] 中华医学会神经病学分会神经康复学组,中国微循环学会神经变性病专业委员会康复学组,中国康复医学会帕金森病与运动障碍康复专业委员会. 帕金森病康复中国专家共识[J]. 中国康复理论与实践,2018,24(7):745-752.
[13] 朱振峰,何怡婧,管强,等. 基于Delphi法构建帕金森病社区规范管理方案[J]. 中国全科医学,2023,26(1):82-90,96.
[14] 吴成翰,周小炫,谢敏,等. 中医治未病·帕金森抑郁和/或焦虑专家共识[J]. 中国中医药信息杂志,2020,27(1):1-5.
[15] 黄佩玲,方伯言,公维军. 欧洲帕金森病康复指南介绍[J]. 中华物理医学与康复杂志,2021,43(10):936-938.