摘要
目的应用结构-过程-结果三维质量评价模式制订帕金森病患者出院延续护理指标,并评价其应用效果。方法2018年4月—2019年6月整群抽取南京市某三级甲等医院住院的帕金森病患者为研究对象。应用随机数字表及余数分组法分成三组(各50例),分别实施基于三维质量评价模式的延续护理(试验组)、普通延续护理和普通护理。比较三组患者帕金森病睡眠量表(PDSS)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、帕金森病非运动症状量表(PD-NMS)、39项帕金森病生存质量问卷(PDQ-39)评分。结果试验组PDSS评分高于普通延续护理组和普通护理组,而SDS、PD-NMS、PDQ-39评分低于普通延续护理组和普通护理组,差异均具有统计学意义(P<0.05)。结论基于三维质量评价模式的延续护理可改善患者睡眠、非运动症状,改善患者抑郁状况,最终提高患者生活质量。
Objective To formulate the continuous nursing index for patients with Parkinson's disease using the structure-process-results three-dimensional quality evaluation model and evaluate its application effects.Methods The patients with Parkinson's disease hospitalized in a ClassⅢGrade A hospital in Nanjing were selected by cluster sampling from April 2018 to June 2019.The patients were divided into the experimental group(continuous nursing based on the three-dimensional quality evaluation model),the conventional continuous nursing group and the conventional nursing group with 50 patients in each group according to the random number table and remainder grouping.The Parkinson's Disease Sleepiness Scale(PDSS),Self-Anxiety Scale(SAS),Self-Depression Scale(SDS),Parkinson's Disease-Nonmotor Scale Scores(PD-NMS)and 39-item Parkinson's Disease Quality of Life(PDQ-39)scores were compared between the tree groups.Results The PDSS score of the experimental group was higher than those of the conventional continuous nursing group and the conventional nursing group,while the SDS,PD-NMS and PDQ-39 scores were lower than those of the conventional continuous nursing group and the conventional nursing group,and the differences were statistically significant(P<0.05).Conclusions Continuous nursing based on the three-dimensional quality evaluation model can improve patients'sleep,nonmotor symptoms,ameliorate their depression,and ultimately achieve the purpose of improving their quality of life.
作者
李雪芬
张睿
廖黎
刘丽
成露
Li Xuefen;Zhang Rui;Liao Li;Liu Li;Cheng Lu(Department of Neurology,the Affiliated Brain Hospital of Nanjing Medical University,Nanjing 210029,China)
出处
《中华现代护理杂志》
2020年第17期2316-2320,共5页
Chinese Journal of Modern Nursing
基金
南京市医学科技发展一般性课题(YKK17130)。
关键词
帕金森病
延续护理
三维质量评价模式
护理质量指标
Parkinson's disease
Continuous nursing
Three-dimensional quality evaluation model
Nursing quality index
作者简介
通信作者:廖黎,Email:liaoli1314@163.com。
