摘要
目的研究记忆引导协同家属管理干预对老年帕金森病合并轻中度抑郁患者相关症状的影响。方法选取2018年1月~2020年12月在南京医科大学第一附属医院接受治疗的200例帕金森病合并抑郁患者,按照随机数表法将其随机分为观察组和对照组,每组100例,对照组采取常规家属管理干预方案,观察组在对照组基础上应用记忆引导方法,比较两组干预前后不同时间汉密尔顿抑郁量表(HAMD)评分变化,比较两组干预前后简易精神状态量表(MMSE)、39项帕金森病生活质量问卷(PDQ-39)评分,另比较两组干预期间并发症发生率。结果两组HAMD评分组内比较干预前>干预6周后>干预9周后>干预12周后,观察组干预6、9和12周后同时点组间比较显著低于对照组,差异有统计学意义(P<0.05)。观察组干预后记忆力、注意和计算能力、回忆能力、语言能力评分显著高于干预前及对照组,差异有统计学意义(P<0.05)。观察组干预后日常生活、情绪状态、疾病病耻感、社会支持、认知功能、沟通能力评分显著低于干预前及对照组,差异有统计学意义(P<0.05)。观察组并发症总发生率为27.00%显著低于41.00%,差异有统计学意义(P<0.05)。结论记忆引导协同家属管理干预对老年帕金森病合并轻中度抑郁患者相关症状有较好的改善效果,明显提高患者生活质量。
Objective tervention on related symptoms of elderly Parkinson's disease patients with mild to moderate depression under story theory.Methods 200 patients with Parkinson's disease complicated with depression who were treated in our hospital from January 2018 to December 2020 were selected as the research objects and randomly divided into the observation group and the control group according to the random number table method,with 100 cases in each group,The control group was given routine family intervention,and the observation group was given story theory on the basis of the control group,The scores of Mini Mental State Examination(MMSE)and 39 item Parkinson's disease quality of life questionnaire(PDQ-39)before and after the intervention were compared between the two groups,and the incidence of complications during the intervention was compared between the two groups.Results The HAMD scores of the two groups were compared before intervention>6 weeks after intervention>9 weeks after intervention>12 weeks after intervention.The observation group was significantly lower than the control group at the same point after 6 weeks of intervention,9 weeks of intervention,and 12 weeks of intervention.Group,the difference was statistically significant(P<0.05).The scores of memory,attention and calculation ability,recall ability,and language ability of the observation group after intervention were significantly higher than those before intervention and the control group,and the difference was statistically significant(P<0.05).The daily life,emotional state,disease stigma,social support,cognitive function,and communication ability scores of the observation group after intervention were significantly lower than those before the intervention and the control group,and the difference was statistically significant(P<0.05).The total incidence of complications in the observation group was 27.00%,significantly lower than 41.00%,the difference was statistically significant(P<0.05).Conclusion Family intervention under the story theory has
作者
余慧
周翔
许艳
许丽
万莹
Yu Hui;Zhou Xiang;Xu Yan(Neurology,the First Affiliated Hospital of Nanjing Medical University(Jiangsu Provincial People's Hospital),Nanjing 210000,China)
出处
《中华保健医学杂志》
2022年第1期22-25,共4页
Chinese Journal of Health Care and Medicine
基金
江苏省卫生计生委科研课题(H201902)。
关键词
帕金森病
记忆引导
家属管理干预
抑郁
Parkinson's disease
Memory guidance
Family management intervention
Depression
