帕金森患者应用问题导向干预模式的护理效果及对认知功能与预后的影响 Nursing Effect of Problem-Oriented Intervention Model and Its Effect on Cognitive Function and Prognosis in Patients with Parkinson’s Disease
目的：探讨帕金森患者应用问题导向干预模式的护理效果及对认知功能与预后的影响。方法：本次研究的对象为2017年1月到2019年4月期间接受治疗的98例帕金森患者，患者按照1:1的比例进行平均分组，即为观察组与对照组，将其中49例采用常规护理的患者纳入对照组，另外49例在常规护理基础上，采用问题导向为主的护理干预模式的患者纳入观察组，对比两组临床症状及日常生活能力，对比两组认知功能改善情况，对比两组焦虑、抑郁情绪，比较两组睡眠质量改善情况、生活质量改善情况。结果：护理前，患者临床症状及日常生活能力评分无明显差异(P > 0.05)；不同护理干预实施后，观察组患者临床症状评分明显低于对照组，日常生活能力评分明显高于对照组(P < 0.05)；采用不同护理方式后，两组患者SAS及SDS情绪均得以改善，且观察组改善情况明显优于对照组(P < 0.05)；不同护理干预实施后，观察组睡眠质量提升情况明显优于对照组，且认知能力评分明显高于对照组(P < 0.05)；不同护理方式实施后，观察组患者生活质量改善显著，评分明显高于对照组(P < 0.05)。结论：针对帕金森患者，应用问题导向为主的护理干预模式，能改善患者临床症状，提高患者生活能力，提高患者认知能力，改善焦虑及抑郁情绪，改善睡眠质量，提高生活质量，极具临床推广价值。
Objective: To explore the nursing effect of problem-oriented intervention model and its effect on cognitive function and prognosis in patients with Parkinson’s disease (PD). Methods: The subjects of this study were 98 patients with Parkinson’s disease who received treatment from January 2017 to April 2019. The patients were divided into observation group and control group according to the proportion of 1:1. 49 patients who adopted routine nursing were included in the control group, and 49 patients who adopted problem-oriented nursing intervention model were included in the observation group on the basis of routine nursing. The clinical symptoms and ability of daily living were compared between the two groups, and the improvement of cognitive function was compared between the two groups. Compared with the two groups of anxiety and depression, the improvement of sleep quality and quality of life in the two groups were compared. Results: Before nursing, there was no significant difference in clinical symptoms and ability of daily living (P > 0.05), but after different nursing interventions, the score of clinical symptoms in the observation group was significantly lower than that in the control group, and the score of the ability of daily living in the observation group was significantly higher than that in the control group (P < 0.05). After different nursing methods, the mood of SAS and SDS in the two groups was improved, and the improvement in the observation group was significantly better than that in the control group (P < 0.05), and the improvement of sleep quality in the observation group was significantly better than that in the control group after different nursing interventions. In the control group, the score of cognitive ability was significantly higher than that in the control group (P < 0.05), and after the implementation of different nursing methods, the quality of life of the patients in
