人文护理对帕金森病患者生活质量及护理满意度的影响
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摘要
目的探讨人文护理对帕金森病患者生活质量及护理满意度的影响。方法选择2015年2月至2017年11月在宝鸡市中心医院神经内科住院治疗的帕金森病患者68例,采用便利抽样法将其分为观察组36例和对照组32例,对照组给予常规护理,观察组在常规护理基础上加用人文护理,分别在护理前后采用生活质量评分量表(PDQ-39自评量表)、统一的帕金森评分量表(UPDRS I量表)、护理满意度量表(SNCS)及护理服务评价量表(ENCS)比较两组患者的日常生活质量、心理状况及护理满意度。结果观察组和对照组患者护理前的日常生活质量评分分别为(7.31±5.29)分、(7.26±5.35)分,护理后分别为(4.14±3.56)分、(5.89±4.67)分,差异均有统计学意义(P<0.05),且观察组数值明显低于对照组,差异有统计学意义(P<0.05);观察组和对照组患者护理前的心理状况评分分别为(2.95±0.9)分、(2.89±1.02)分,护理后分别为(1.36±0.39)分、(2.04±0.46)分,差异均有统计学意义(P<0.05),且观察组数值明显低于对照组,差异有统计学意义(P<0.05);观察组和对照组护理前的护理满意度评分分别为(61.96±2.88)分、(62.03±2.79)分,护理后评分分别为(89.15±3.42)分、(76.12±2.23)分,观察组和对照组护理前护理服务评价评分分别为(57.48±2.63)分、(57.08±2.65)分,护理后评分分别为(85.92±2.87)分、(71.34±2.38)分,差异均有统计学意义(P<0.05),且观察组数值明显高于对照组,差异有统计学意义(P<0.05)。结论人文护理可显著提高帕金森病患者生活质量,改善患者心理状况,提升护理满意度,值得护理临床推广应用。
Objective To study the effect of humanistic nursing on quality of life and nursing satisfaction of patients with Parkinson's disease. Methods A total of 68 patients of Parkinson's disease were selected from February2015 to November 2017 in Baoji Municipal Central Hospital. The patients were divided into the observation group(36cases) and the control group(32 cases) by convenient sampling method, which were given routine nursing and humanistic nursing on the basis of routine nursing, respectively. Quality of life scale(PDQ-39 self-rating scale), unified parkinson's disease rating scale(UPDRS I scale), satisfaction of nursing care scale(SNCS) and experiences of nursing care scale(ENCS) were used to compare the quality of daily life, psychological status and nursing satisfaction of the two groups before and after nursing. Results The scores of quality of life in observation group and control group were7.31±5.29, 7.26±5.35 before nursing versus 4.14±3.56, 5.89±4.67 after nursing(P<0.05), and the values in observation group were significantly lower than those in control group(P<0.05). The scores of psychological status in observation group and control group were 2.95±0.98, 2.89±1.02 before nursing versus 1.36±0.39, 2.04±0.46 and after nursing(P<0.05), and the values in observation group were significantly lower than those in control group(P<0.05). The scores of satisfaction were 61.96±2.88, 62.03±2.79 before nursing versus 89.15±3.42, 76.12±2.23 after nursing(P<0.05), and the evaluation scores in the two groups were 57.48±2.63, 57.08±2.65 before nursing versus 85.92±2.87, 71.34±2.38 after nursing(P<0.05), and the values of observation group were significantly higher than those of control group(P<0.05).Conclusion Humanistic nursing can significantly improve the quality of life of patients with Parkinson's disease, the psychological status of patients, and the nursing satisfaction, which is worthy of clinical application.
Objective To study the effect of humanistic nursing on quality of life and nursing satisfaction of patients with Parkinson's disease. Methods A total of 68 patients of Parkinson's disease were selected from February2015 to November 2017 in Baoji Municipal Central Hospital. The patients were divided into the observation group(36cases) and the control group(32 cases) by convenient sampling method, which were given routine nursing and humanistic nursing on the basis of routine nursing, respectively. Quality of life scale(PDQ-39 self-rating scale), unified parkinson's disease rating scale(UPDRS I scale), satisfaction of nursing care scale(SNCS) and experiences of nursing care scale(ENCS) were used to compare the quality of daily life, psychological status and nursing satisfaction of the two groups before and after nursing. Results The scores of quality of life in observation group and control group were7.31±5.29, 7.26±5.35 before nursing versus 4.14±3.56, 5.89±4.67 after nursing(P<0.05), and the values in observation group were significantly lower than those in control group(P<0.05). The scores of psychological status in observation group and control group were 2.95±0.98, 2.89±1.02 before nursing versus 1.36±0.39, 2.04±0.46 and after nursing(P<0.05), and the values in observation group were significantly lower than those in control group(P<0.05). The scores of satisfaction were 61.96±2.88, 62.03±2.79 before nursing versus 89.15±3.42, 76.12±2.23 after nursing(P<0.05), and the evaluation scores in the two groups were 57.48±2.63, 57.08±2.65 before nursing versus 85.92±2.87, 71.34±2.38 after nursing(P<0.05), and the values of observation group were significantly higher than those of control group(P<0.05).Conclusion Humanistic nursing can significantly improve the quality of life of patients with Parkinson's disease, the psychological status of patients, and the nursing satisfaction, which is worthy of clinical application.
引文
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[18]刘锦仪,陈伟,吴志刚,等.低负荷运动训练对帕金森病患者步态及平衡功能的效果[J].中国康复理论与实践,2016,22(1):19-22.
[19]ARNAO V,CINTURINO A,VALENTINO F,et al.In patient's with Parkinson disease,autonomic symptoms are frequent and associated with other non-motor symptoms[J].Clin Auton Res,2015,25(5):301-307.
[20]李友辉.人文关怀在老年护理工作中的应用[J].西南军医,2011,13(1):162-163.
[21]王斌全.护理人文关怀与健康新概念[J].护理研究,2003,17(1):2-5.
[22]李青,彭雪花.人文护理在临床实践中存在的问题与思考[J].临床合理用药杂志,2011,4(24):102-103.
[23]王向荣,王向玲,胡慧,等.美学教育与护理学生素质的构建[J].医学与哲学,2012,33(12A):67-68.
[24]郭瑜洁,邱移芹.护士关怀能力现状及影响因素调查[J].护理管理杂志,2013,13(8):541-542.
[25]黄晓哲.护理干预对帕金森病患者抑郁症状及生活质量的影响[J].当代护士,2010,12(1):15-17.
[2]EHGOETZ MARTENS KA,ELLARD CG,ALMEIDA QJ.Does Anxiety cause freezing of gait in Parkinson's disease?[J].PLoS One,2014,9(9):e506-561.
[3]MARTENS KA,HALL JM,GILAT M,et al.Anxiety is associated with freezing of gait and attentional set-shifting in Parkinson's disease:a new perspective for early intervention[J].Gait Posture,2016,49(5):431-436.
[4]WALTON CC,SHINE JM,HALL JM,et al.The major impact of freezing of gait on quality of life in Parkinson's disease[J].J Neurol,2015,262(1):108-115.
[5]PEREZ-LLORET S,NEGRE-PAGES L,DAMIER P,et al.Prevalence,determinants and effect on quality of life of freezing of gait in Parkinson disease[J].JAMA Neurol,2014,71(7):884-890.
[6]LIN CH,LIN JW,LIU YC,et al.Risk of Parkinson's disease following anxiety disorders:a nationwide population-based cohort study[J].Eur J Neurol,2015,22(9):1280-1287.
[7]BOWER JH,GROSSARDT BR,MARAGANORE DM,et al.Anxious personality predicts an increased risk of parkinson's disease[J].Mov Disord,2010,25(13):2105-2113.
[8]POSTUMA RB,BERG D,STERN M,et al.MDS clinicaldiagnostic criteria for Parkinson's disease[J].Mov Disord,2015,30(12):1591-1601.
[9]中华医学会神经病学分会帕金森病及运动障碍学组.中国帕金森病治疗指南(第三版)[J].中华神经科杂志,2014,47(3):428-433.
[10]TSANG KL,CHI I,HO SL,et al.Translation and validation of the standard Chinese version of PDQ-39:a quality-of-life measure for patients with Parkinson's disease[J].Mov Disord,2002,17(2):1036-1040.
[11]Movement Disorder Society Task Force on Rating Scales for Parkinson's Disease.The Unified Parkinson's Disease Rating Scale(UP-DRS):Status and recommendations[J].Movement Disord,2003,18(7):738-750.
[12]谢开春.剖析妇科腹腔镜手术护理分析[J].中外健康文摘,2013,10(3):215-217.
[13]朱丹丹.“零缺陷”服务理念在妇科腹腔镜手术护理中的应用[J].中外健康文摘,2012,9(40):327-328.
[14]ZHANG ZX,ROMAN GC,HONG Z,et al.Parkinson's disease in China:prevalence in Beijing,Xi'an and Shanghai[J].Lancet,2005,365(9459):595-597.
[15]KHOO TK,YARNALL AJ,DUNCAN GW,et al.The spectrum of nonmotor symptoms in early Parkinson disease[J].Neurology,2013,80(3):276-281.
[16]LIM SY,FOX SH,LANG AE.Overview of the extranigral aspects of Parkinson disease[J].Arch Neurol,2009,66(2):167-172.
[17]HAUSDORFF JM.Gait dynamics in Parkinson's disease:common and distinct behavior among stride length,gait variability and fractal-like scaling[J].Chaos,2009,19(2):26-113.
[18]刘锦仪,陈伟,吴志刚,等.低负荷运动训练对帕金森病患者步态及平衡功能的效果[J].中国康复理论与实践,2016,22(1):19-22.
[19]ARNAO V,CINTURINO A,VALENTINO F,et al.In patient's with Parkinson disease,autonomic symptoms are frequent and associated with other non-motor symptoms[J].Clin Auton Res,2015,25(5):301-307.
[20]李友辉.人文关怀在老年护理工作中的应用[J].西南军医,2011,13(1):162-163.
[21]王斌全.护理人文关怀与健康新概念[J].护理研究,2003,17(1):2-5.
[22]李青,彭雪花.人文护理在临床实践中存在的问题与思考[J].临床合理用药杂志,2011,4(24):102-103.
[23]王向荣,王向玲,胡慧,等.美学教育与护理学生素质的构建[J].医学与哲学,2012,33(12A):67-68.
[24]郭瑜洁,邱移芹.护士关怀能力现状及影响因素调查[J].护理管理杂志,2013,13(8):541-542.
[25]黄晓哲.护理干预对帕金森病患者抑郁症状及生活质量的影响[J].当代护士,2010,12(1):15-17.