摘要
目的探讨品管圈活动对帕金森病合并抑郁患者抑郁和日常生活能力的影响。方法将80例帕金森合并抑郁的患者按入院顺序分为干预组和对照组，每组40例，干预组参加3个月的品管圈活动，两组患者及主要家庭照料者均参加每月1次的帕金森病友会，接受集体健康教育。采用汉密尔顿抑郁量表（HAMD）和日常生活能力（ADL）量表比较干预前后两组患者的抑郁水平和日常生活能力。结果干预3个月后干预组患者HAMD评分降至（8．80±2．36）分，明显低于对照组的（19．47±1．85）分，差异有统计学意义（t=22．50，P〈0．01）；干预组ADL评分提高到（89．14±2．25）分，明显高于对照组的（58．32±2．21）分，差异有统计学意义（t=61．81，P〈0．01）。结论品管圈活动能提高健康教育的效果，通过对患者及主要照料者同步实施循环、持续的健康教育，建立有效的社会支持系统，可改善帕金森病合并抑郁患者的抑郁情绪及日常生活能力，提高生活质量。
Objective To explore the effect of quality control circle activity on depression and activities of daily living of Parkinson＇ s disease with depression. Methods Totals of 80 patients of Parkinson＇ s disease with depression were divided into treatment group and control group with 40 cases in each group according to the time of admission. Treatment group took part in quality control circle activity for 3 months, two groups were obliged to attend a constant activity with all patients per month, received coUeetive health education. Hamilton depression scale （HAND） and Activities of Daily Living （ADL） were used to measure depression degree and activities of daily living of patients before and after the intervention. Results Three months after the intervention, HAMD score of patients in treatment group was reduced to （8.80 ± 2. 36 ）, that in control group was （ 19.47 ± 1.85）, and the difference was statistically significant （ t = 22.50,P 〈 0.01 ）. ADL score of patients in treatment group was increased to （89.14 ± 2.25 ）, while that score of patients in control group was （58.32 ± 2.21 ）, and significantly difference was found between two groups （t = 61. 81, P 〈 0. 01 ）.Conclusions Quality control circle activity can improve the effect of health education through continuously giving the patients and caregivers health education, and establishing an effective social support system. Meanwhile, it can improve the patients＇ depression condition and self management ability, so as to improve the quality of their life.
出处
《中华现代护理杂志》
2014年第29期3690-3692,共3页
Chinese Journal of Modern Nursing
基金
2011年度河北省科技支撑计划项目（112761145）
关键词
帕金森病
抑郁
品管圈活动
Parkinson＇ s disease
Depression
Quality control circle
