李晓萍 姜宏春 李晶超 梁红玉 胡宇 马红梅 修文娜

[摘要]目的 探討分阶段变化护理干预模式在帕金森病（PD）患者中的应用效果。方法 选取2017年10月～2018年10月我院收治的80例PD患者作为研究对象，按照随机数字表法分为对照组（n=40）与观察组（n=40）。对照组采用常规护理方法，观察组采用分阶段变化护理干预模式。比较两组的护理总满意度、生活自理能力评分及治疗总依从性。结果 观察组的护理总满意度高于对照组，差异有统计学意义（P<0.05）;观察组的生活自理能力评分及治疗总依从性高于对照组，差异均有统计学意义（P<0.05）。结论 对PD患者实施分阶段变化护理干预有利于提升患者及家属护理满意度，并提高患者的治疗依从性，促进患者能自我护理，应用效果较号，值得临床推广。

[关键词]分阶段护理;帕金森病患者;治疗依从性;护理效果

[中图分类号] R473.74          [文献标识码] A          [文章编号] 1674-4721（2020）8（a）-0245-03

Application of nursing intervention mode in stages in patients with Parkinson′s disease

LI Xiao-ping1   JIANG Hong-chun2▲   LI Jing-chao1   LIANG Hong-yu1   HU Yu1   MA Hong-mei1   XIU Wen-na1

1. The Second/Third Department of Neurology， Hongqi Hospital Affiliated to Mudanjiang Medical University， Heilongjiang Province， Mudanjiang   157000， China; 2. The Third Department of Ophthalmology， Branch 1 of Hongqi Hospital  Affiliated to Mudanjiang Medical University， Heilongjiang Province， Mudanjiang   157000， China

[Abstract] Objective To explore the application effect of the nursing intervention mode in stages in patients with Parkinson′s disease （PD）. Methods Eighty patients with PD admitted to our hospital from October 2017 to October 2018 were selected as the research objects. They were divided into control group （n=40） and observation group （n=40） according to the random number table method. In the control group， conventional nursing was used， and in the observation group， nursing intervention mode in stages was used. The nursing total satisfaction， life self-care ability score and total treatment compliance of the two groups were compared. Results The nursing total satisfaction of the observation group was higher than that in the control group， and the difference was statistically significant （P<0.05）. The self-care ability score and total treatment compliance of the observation group were higher than those in the control group， with statistical differences （P<0.05）. Conclusion Implementing staged nursing intervention for patients with PD is beneficial to improving the nursing satisfaction of patients and their families， increasing the patient′s treatment compliance， and promoting patient′s self-care in favorable effect， which is worthy of clinical promotion.

[Key words] Staged nursing; Patients with Parkinson′s disease; Treatment compliance; Nursing effect

在神经系统疾病中，常见的疾病之一即帕金森病（PD）[1]。当前有关PD的相关报道逐渐增加，并引起社会各界的高度重视。PD是一种神经系统退行性疾病，主要表现为静止性震颤、运动迟缓、肌肉强直、姿势步态异常等，且疾病为缓慢进展，发展到最后完全丧失运动功能，患者自理能力降低，且目前无根治性治疗方法，多需要给予药物干预。根据患者的特点因地制宜并分阶段进行个性化的治疗及护理，为患者提供康复、锻炼指导、职业技能培训，能够降低患者的残疾率，促进患者神经功能康复，提高患者及家属的护理满意度，改善患者的生活质量，提高患者对治疗的依从性，而帮助患者更好地重返社会工作、生活。本研究选取我院收治的80例PD患者为研究对象，分组给予不同的护理模式，现报道如下。

1资料与方法

1.1一般资料

选取2017年10月～2018年10月我院收治的80例PD患者為研究对象，采用随机数字表法将其分为对照组和观察组，每组各40例。……