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目的研究积极的心理护理干预方法对帕金森(PD)患者的抑郁情绪以及认知功能的影响。方法将2013年6月到2015年6月在我院就诊的110例PD病人作为研究对象,随机分为观察组与对照组,每组各55例。观察组予以积极心理干预,对照组予以常规护理干预。比较两组病人的汉密尔顿抑郁量表(HAMD)评分、抑郁发生率以及蒙特利尔认知评估量表(Mo CA)评分及日常生活能力量表(ADL)的评分等。结果护理干预前两组患者的上述三个量表评分组间对比,差异无统计学意义(P>0.05);护理干预后两组的HAMD评分均显著的降低,并且观察组明显低于对照组;观察组以及对照组患者护理干预半年后的抑郁发生率分别为47.27%、69.09%,观察组抑郁发生率显著低于对照组;护理干预后两组的Mo CA各维度分数以及总分均显著升高,并且观察组明显高于对照组;干预后两组的ADL评分均显著升高,并且观察组明显高于对照组;比较差异均具有显著性(P<0.05)。结论积极的心理护理干预在改善PD病人的抑郁症状,降低抑郁发生率,改善认知功能方面具有显著的优势。
Objective To study the effect of active psychological nursing intervention on depression and cognitive function in patients with Parkinson’s disease. Methods A total of 110 PD patients treated in our hospital from June 2013 to June 2015 were randomly divided into observation group and control group, with 55 cases in each group. Observation group to positive psychological intervention, the control group to be routine nursing intervention. The Hamilton Depression Rating Scale (HAMD), the prevalence of depression, and the MoCA score and ADL score of the two groups were compared. Results There was no significant difference between the three groups in the two groups before nursing intervention (P> 0.05). The HAMD scores of the two groups were significantly decreased after nursing intervention, and the scores in the observation group were significantly lower than those in the control group ; The incidence of depression after six months of nursing intervention in observation group and control group were 47.27% and 69.09% respectively, and the incidence of depression in observation group was significantly lower than that in control group. The scores of MoCA and the total score in two groups were significantly higher after nursing intervention (P <0.05), and the observation group was significantly higher than the control group; the ADL scores of the two groups were significantly increased after intervention, and the observation group was significantly higher than the control group; the difference was significant (P <0.05). Conclusion Positive psychological nursing interventions have significant advantages in improving the symptoms of depression, reducing the incidence of depression and improving cognitive function.