摘要
目的探讨个体化干预应用于老年帕金森体位性低血压(OH)患者的效果。方法选择2020年6月至2022年6月收治的90例老年帕金森OH患者,根据随机数表法分为对照组和干预组,每组45例。对照组护理方式为常规护理,干预组在对照组基础上行个体化干预。观察2组OH自我管理水平、血压下降情况、认知功能及并发症发生情况。结果干预前比较,2组干预2周后OH自我管理水平问卷各项评分均更高,且干预组各项评分均较对照组高(P<0.05);2组干预2周后的收缩压及舒张压下降值降低,且干预组低于对照组,差异均有统计学意义(P<0.05);2组干预2周后蒙特利尔认知评估量表(MoCA)评分提高,且干预组高于对照组,差异均有统计学意义(P<0.05);干预组并发症发生率低于对照组(P<0.05)。结论个体化干预能够改善老年帕金森OH患者自我管理水平及血压下降情况,并可改善患者认知功能,减少并发症。
Objective To explore the effect of an individualized intervention on elderly Parkinson's disease(PD) patients with orthostatic hypotension(OH).Methods A total of 90 elderly PD patients with OH admitted to our hospital from June 2020 to June 2022 were randomly divided into control group(n=45) and intervention group(n=45).Conventional nursing was applied to all patients,and those in the intervention group were additionally given the individualized intervention.The self-management level of OH,blood pressure drop,cognitive function and complications of the two groups were observed.Results Compared with those before intervention,the scores of the OH self-management questionnaire at 2 weeks of intervention were significantly elevated,which were significantly higher in the intervention group than those of control group(P<0.05).After 2 weeks of intervention,the systolic and diastolic blood pressure significantly decreased in both groups,which were significantly lower in the intervention group than those of control group(P<0.05).The score of Montreal Cognitive Assessment Scale(MoCA) in the two groups significantly increased after 2 weeks of intervention,which were significantly higher in the intervention group than those of control group(P<0.05).The incidence of complications in the intervention group was significantly lower than that of the control group(P<0.05).Conclusion An individualized intervention can improve the self-management level and blood pressure decline of elderly PD patients with OH,improve the cognitive function and reduce complications.
作者
牛鸿婷
孙世娟
王珅
NIU Hongting;SUN Shijuan;WANG Shen(Department of Neurology,Zhangjiakou First Hospital,Hebei,Zhangjiakou 075000,China)
出处
《河北医药》
CAS
2024年第1期147-150,共4页
Hebei Medical Journal
基金
大健康和生物医疗专项(编号:2021091D)。
关键词
个体化干预
老年
帕金森
体位性低血压
认知功能
individualized intervention
elderly
Parkinson’s disease
orthostatic hypotension
cognitive function
