居家帕金森病病人护理依赖现状及影响因素分析

doi:10.3969/j.issn.1003-9198.2023.11.025

实用老年医学 ›› 2023, Vol. 37 ›› Issue (11): 1181-1184.doi: 10.3969/j.issn.1003-9198.2023.11.025

居家帕金森病病人护理依赖现状及影响因素分析

艾春雨, 周敏, 王普清, 唐洁, 王玲

441000 湖北省襄阳市,湖北医药学院附属襄阳市第一人民医院湖北省帕金森病临床医学研究中心

收稿日期:2022-12-12 出版日期:2023-11-20 发布日期:2023-11-22
通讯作者: 周敏,Email: 591974565@qq.com
基金资助:
湖北省卫生健康委员会面上项目(WJ2021M263);襄阳市第一人民医院科技创新项目(XYY2021S09)

Analysis of status and influencing factors of nursing dependence in home-based patients with Parkinson's disease

AI Chun-yu, ZHOU Min, WANG Pu-qing, TANG Jie, WANG Ling

Hubei Provincial Clinical Research Center for Parkinson's Disease, Xiangyang First People's Hospital Affiliated to Hubei University of Medicine, Xiangyang 441000, China

Received:2022-12-12 Online:2023-11-20 Published:2023-11-22
Contact: Zhou Min, Email: 591974565@qq.com

摘要/Abstract

摘要： 目的了解居家PD病人护理依赖的现状并分析其影响因素,为病人制定针对性干预措施提供依据。方法选取2021年3月至2022年7月在襄阳市第一人民医院就诊且居家护理的172例PD病人为研究对象,采用自行设计的一般资料调查量表、护理依赖量表(CDC)、汉密尔顿抑郁量表(HAMD-17)和MoCA进行调查。应用Logistic回归分析居家PD病人护理依赖的影响因素。结果 172例居家PD病人护理依赖得分为(61.61±11.11)分,护理依赖发生率为61.0%。Logistic回归分析结果显示,病程、姿势不稳/步态障碍、抑郁状态、认知功能障碍为居家PD病人发生护理依赖的影响因素(P＜0.05)。结论居家PD病人存在较高的护理依赖,应重点关注病程长及伴有姿势不稳/步态障碍型、抑郁状态和认知功能障碍的居家PD病人,有针对性地制定有效的干预措施,提高病人的生活质量。

关键词: 帕金森病, 护理依赖, 影响因素

Abstract: Objective To explore the status of nursing dependence in home-based patients with Parkinson's disease(PD) and analyze the influencing factors to provide a reference for formulating targeted intervention measures. Methods A total of home-based 172 patients with PD from March 2021 to July 2022 after treatment at Xiangyang First People's Hospital were enrolled by convenience sampling. Self-designed general data survey scale, Care Dependency Scale (CDC), Hamilton Depression Scale (HAMD-17) and Montreal Cognitive Assessment (MoCA) were surveyed. Multivariate Logistic regression was used to analyze the influencing factors of care dependence in home-based patients with PD. Results The total score of nursing dependence of home-based patients with PD was 61.61±11.11, and the incidence of nursing dependence was 61.0%. Logistic regression analysis showed that the disease course, postural instability/gait disorder, depression and cognitive dysfunction were the influencing factors of nursing dependence in home-based patients with PD (P<0.05). Conclusions The home-based patients with PD have high level of nursing dependence. Attention should be paid to the patients with long course, postural instability/gait disorder, depression and cognitive dysfunction. The effective intervention measures should be taken to improve the quality of life of the patients.

Key words: Parkinson's disease, care dependence, influencing factor

中图分类号:

R 742.5

艾春雨, 周敏, 王普清, 唐洁, 王玲. 居家帕金森病病人护理依赖现状及影响因素分析[J]. 实用老年医学, 2023, 37(11): 1181-1184.

AI Chun-yu, ZHOU Min, WANG Pu-qing, TANG Jie, WANG Ling. Analysis of status and influencing factors of nursing dependence in home-based patients with Parkinson's disease[J]. Practical Geriatrics, 2023, 37(11): 1181-1184.

参考文献

[1] REICH S G, SAVITT J M. Parkinson's disease[J]. Med Clin North Am, 2019,103:337-350.
[2] 庄娜, 于宏丽, 邓红梅, 等. 家庭跟进式分级护理对居家帕金森病病人的影响[J]. 护理研究, 2017,31(33):4210-4217.
[3] 何菁, 龚丝语, 徐筱春. 社区居家帕金森病患者安全措施的建立与实施[J]. 上海护理,2014,14(3):71-73.
[4] DIJKSTRA A, TIESINGA L J, PLANTINGA L, et al. Diagnostic accuracy of the CareDependency Scale[J]. J Adv Nurs, 2005, 50(4):410-416.
[5] 艾春雨, 周敏, 贺萍, 等. 帕金森病病人护理依赖研究进展[J]. 护理研究,2021,35(20):3661-3664.
[6] 章舒琦, 朱月妹, 李丽, 等. 中文版护理依赖量表用于老年患者的信效度分析[J]. 护理学杂志, 2014,29(3):7-9.
[7] OBEID S, ABI ELIAS HALLIT C, HADDAD C, et al. Validation of the Hamilton Depression Rating Scale (HDRS) and sociodemographic factors associated with Lebanese depressed patients[J]. Encephale, 2018, 44(5):397-402.
[8] NASREDDINE Z S, PHILLIPS N A, BÉDIRIAN V, et al. The Montreal Cognitive Assessment,MoCA: a brief screening tool for mild cognitive impairment[J]. J Am Geriatr Soc, 2005, 53(4):695-699.
[9] STEBBINS G T, GOETZ C G, BURN D J, et al. How to identify tremor dominant and posturalinstability/gait difficulty groups with the movement disorder society unified Parkinson's disease rating scale: comparison with the unified Parkinson's disease rating scale[J]. Mov Disord, 2013,28(5):668-670.
[10] 孙一帆.延边地区住院老年患者衰弱与照护依赖的关系研究[D]. 延吉:延边大学,2019.
[11] 韩斌如, 张聪雅. 老年脑卒中患者护理依赖现状调查[J]. 中华护理杂志,2019,54(5):672-677.
[12] 赵悦秋. 帕金森患者支持性服务未满足需求现状调查分析[D]. 江西:南昌大学,2021.
[13] 涂淑华, 岳丽春, 唐浪娟, 等. 帕金森患者自我健康管理现状及影响因素分析[J]. 护理实践与研究, 2017,14(14):4-7.
[14] 但佳惠, 王相明, 张月辉. 帕金森病运动亚型及认知功能的研究进展[J]. 神经疾病与精神卫生, 2022,22(2):144-148.
[15] 孙政, 杜小静, 马建军, 等. 抑郁对不同运动亚型帕金森病患者生活质量的影响[J].中华老年心脑血管病杂志, 2019,21(2):129-132.
[16] DOROSZKIEWICZ H, SIERAKOWSKA M, MUSZALIK M. Utility of the Care Dependency Scale in predicting care needs and health risks of elderly patients admitted to a geriatric unit: a cross-sectional study of 200 consecutive patients[J]. Clin Interv Aging, 2018,13:887-894.
[17] SULZER P, BÄUMER A, HOANG H G, et al. Assessment of cognitive-driven performance-based activities of daily living dysfunction in Parkinson's disease[J]. J Int Neuropsychol Soc, 2020, 26(4):430-440.

居家帕金森病病人护理依赖现状及影响因素分析

Analysis of status and influencing factors of nursing dependence in home-based patients with Parkinson's disease

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