家属参与式护理干预对老年帕金森患者社会支持及自我效能的影响

目的探讨家属参与式护理干预对老年帕金森患者社会支持及自我效能的影响.方法将120例老年帕金森患者按随机数字表法分为两组,每组60例,对照组予以常规护理干预,研究组在对照组基础上予以家属参与式护理干预,观察3个月.干预后评定两组遵医行为,干预前后采用蒙特利尔认知评估量表评定认知功能,汉密顿焦虑量表评定焦虑情绪、汉密顿抑郁量表评定抑郁情绪,一般自我效能感量表评定自我效能感,社会支持评定量表评定社会支持程度,简明健康状况量表评定生活质量.结果(1)干预后研究组遵医嘱用药、控制情绪、按时作息、合理饮食、坚持适量运动各项评分均显著高于对照组(P<0.01);(2)干预后两组汉密顿焦虑量表、汉密顿抑郁量表评分较干预前显著下降(P<0.01),研究组评分均显著低于对照组(P<0.01);(3)干预后两组蒙特利尔认知评估量表、一般自我效能感量表及社会支持评定量表各维度评分较干预前显著升高(P<0.01),研究组各量表评分均显著高于对照组(P<0.01);(4)干预后两组简明健康状况量表评分较干预前持续升高(P<0.01),研究组干预后各时点评分显著高于对照组(P<0.01).结论家属参与式护理干预能显著缓解老年帕金森患者的负性情绪,增强自我效能感及社会支持程度,改善遵医行为、认知功能及生活质量,提高治疗效果,值得在临床推广应用.

Impact of family participatory nursing intervention on social support and self-efficacy in elderly PD Patients

Objective To investigate the impact of family participatory nursing intervention on social support and self-efficacy in elderly PD Patients.Methods 120 elderly patients with Parkinson's disease were divided into two groups according to the random number table method,with 60 cases in each group.The control group was given routine nursing intervention.The study group was given family-based participatory nursing intervention based on the control group and observed for 3 months.After intervention,the compliance behaviors of the two groups were evaluated.Cognitive function was evaluated by MoCA before and after the intervention.HAMA was used to evaluate anxiety and HMD was used to evaluate depression.GSES was used to evaluate self-efficacy.SSRS was used to evaluate social support.SF-36 was used to evaluate quality of life.Results(1)After the intervention,the scores of medication according to the doctor's advice,mood control,regular schedule,reasonable diet,and regular exercise in the study group were significantly higher than those in the control group(P<0.01).(2)After the intervention,the HAMA and HMD scores of the two groups were significantly lower than those before the intervention(P<0.01),and the scores of the study group were significantly lower than those of the control group(P<0.01).(3)Tlie scures ul MuCA,GSE3 alnd SSR3 in the lwu grups after interventiun were significantly higher than those before intervention(P<0.01),and the scores of each scale in the study group were significantly higher than those in the control group(P<0.01).(4)After the intervention,the SF-36 scores in the two groups continued to increase compared with before the intervention(P<0.01).The scores of the study group at each time of intervention were significantly higher than those of the control group(P<0.01).Conclusions Familyparticipatory nursing intervention can significantly alleviate the negative emotions of elderly PD patients,enhance sel-efficacy and social support,improve compliance behaviors,cognitive function and quality of life,and improve treatment effects.It is worthy of clinical application.