摘要
目的探讨以问题解决(ADOPT)模式为导向的中医护理干预对早期帕金森病患者生活质量的影响。方法选取2023年3-11月昆明市中医医院老年病科满足纳排标准的86例早期帕金森病患者,采用随机数字表法将其分为对照组与观察组,2组分别选择该科室的2个病区纳入,一病区为对照组(43例),二病区为观察组(43例)。对照组采取常规中医护理干预,观察组实施基于ADOPT模式的中医护理干预方案。结果干预前2组患者的自我管理能力得分、改良Hoehn-Yahr(H-Y)分级、生活质量评分比较,差异无统计学意义(P>0.05)。干预后,观察组患者的自我管理能力得分、Hoehn-Yahr(H-Y)分级、生活质量评分均优于对照组,差异有统计学意义(P<0.05)。结论ADOPT模式指导下早期帕金森病患者的中医护理干预方案可以提高患者自我管理能力、延缓疾病进展,进而改善患者的生活质量。
Objective To explore the effect of traditional Chinese medicine nursing intervention guided by problem solving(ADOPT)model on the quality of life of patients with early Parkinson′s disease.Methods A total of 86 patients with early Parkinson′s disease who met the inclusion and exclusion criteria in the Department of Geriatrics of Kunming Hospital of Traditional Chinese Medicine from March to November 2023 were selected and divided into the control group and the observation group by random number table method.The first ward was the control group(43 cases),and the second ward was the observation group(43 cases).The control group was given routine TCM nursing intervention,and the observation group was given TCM nursing intervention plan based on ADOPT model.Results There was no significant difference in self-management ability score,modified Hoehn-Yahr(H-Y)grade and quality of life score between the two groups before intervention(P>0.05).After intervention,the self-management ability score,Hoehn-Yahr(H-Y)grade and quality of life score of patients in the observation group were better than those in the control group,and the difference were statistically significant(P<0.05).Conclusion The traditional Chinese medicine nursing intervention program under the guidance of problem solving model can improve patients′self-management ability,delay disease progression,and improve patients′quality of life.
作者
李慧芳
杨锦湄
刘雨丹
罗丽
杨玲玲
LI Huifang;YANG Jinmei;LIU Yudan;LUO Li;YANG Lingling(Yunnan University of Chinese Medicine,Kunming,Yunnan 650500,China;Kunming Hospital of Traditional Chinese Medicine,Kunming,Yunnan 650500,China)
出处
《现代医药卫生》
2024年第19期3315-3319,共5页
Journal of Modern Medicine & Health
基金
云南省科学技术厅科技计划项目(202301AZ070001-101)
云南中医药大学护理学院科创基金项目(YZHCKY2407)。
关键词
问题解决模式
中医护理
早期帕金森病
生活质量
Problem solving model
Traditional Chinese medicine and nursing
Early Parkinson′s disease
Quality of life
