摘要
目的:探讨基于罗伊适应模式的护理措施在帕金森患者中的应用价值。方法:选取2015年6月—2020年3月商丘市第三人民医院收治的帕金森患者58例,按随机数表法分为观察组和对照组,每组各29例。对照组患者实施常规护理,观察组患者采取基于罗伊适应模式的护理措施,比较两组患者干预前及干预后帕金森症状严重程度、认知功能、睡眠质量、生活质量。结果:干预前,两组患者帕金森评分量表(UPDRS)、认知功能、睡眠质量、生活质量评分比较,差异无统计学意义(P>0.05);干预后,观察组患者UPDRS中精神、行为和倾诉(7.04±1.94)分,日常生活活动(27.36±3.81)分,运动检查(30.29±4.87)分,生活质量评分(69.14±6.58)分,均低于对照组,差异有统计学意义(t=2.190、3.381、4.598,P<0.05);观察组患者干预后认知功能评分(24.16±2.24)分、睡眠质量评分(122.40±10.73)分,高于对照组,差异有统计学意义(t=3.194、5.790,P<0.05)。观察组患者干预后帕金森患者生活质量问卷(PDQ-39)中身体活动(12.13±1.54)分、日常生活行为(11.13±1.06)分、精神健康(9.81±1.13)分、屈辱感(5.13±1.22)分、社会支持(4.26±0.53)分、认知(6.10±1.02)分、交流(4.13±0.82)分、身体不适(4.06±0.73)分,低于对照组,差异有统计学意义(t=15.014、13.807、10.739、9.235、18.010、13.102、8.004、8.637,P<0.05)。结论:基于罗伊适应模式的护理措施能够有效缓解帕金森患者临床症状,改善其认知功能,提高其生活质量和睡眠质量。
Objective:To explore the value of nursing interventions based on the Roy Adaptation Model in Parkinson’s pa-tients.Methods:58 cases of Parkinson’s patients admitted to the hospital from June 2015 to March 2020 were selected and divided into observation group and control group according to the random number table method,with 29 cases in each group.The control group implemented conventional nursing care,and the observation group adopted nursing measures based on the Roy adap-tation model.The severity of Parkinson’s symptoms,cognitive function,sleep quality,and quality of life were compared between the two groups of patients before and after the intervention.Results:Before the intervention,there was no statistically signifi-cant difference in the comparison of Parkinson’s Rating Scale(UPDRS),cognitive function,sleep quality,and quality of life scores between the two groups(P>0.05).After the intervention,the mental,behavioral and confabulation(7.04±1.94)points,activi-ties of daily living(27.36±3.81)points,motor examination(30.29±4.87)points and quality of life scores(69.14±6.58)points in the UPDRS of the observation group were lower than those of the control group,and the differences were statistically significant(t=2.190,3.381,4.598,P<0.05).After the intervention,the Parkinson’s patients’quality of life questionnaire(PDQ-39)scores in the observation group were lower than those of the control group in physical activity(12.13±1.54)points,daily living behavior(11.13±1.06)points,mental health(9.81±1.13)points,humiliation(5.13±1.22)points,social support(4.26±0.53)points,cognition(6.10±1.02)points,communication(4.13±0.82)points,and physical discomfort(4.06±0.73)points,and the difference was statistical-ly significant(t=15.014,13.807,10.739,9.235,18.010,13.102,8.004,8.637,P<0.05).Conclusion:Nursing measures based on the Roy Adaptation Model can effectively alleviate clinical symptoms,improve cognitive function,and enhance the quality of life and sleep quality of Parkinson’s patients.
作者
卢春丽
Lu Chunli(Department of Neurology,Shangqiu Third People’s Hospital,Shangqiu,Henan,476000,China)
出处
《黑龙江医学》
2024年第3期349-351,共3页
Heilongjiang Medical Journal
关键词
帕金森
罗伊适应模式
临床症状
认知功能
睡眠质量
生活质量
Parkinson’s disease
Roy adaptation model
Clinical symptoms
Cognitive function
Sleep quality
Quality of life
