摘要
目的分析基于保护动机理论的干预在老年帕金森病前驱期轻度认知功能障碍患者中的应用效果。方法98例老年帕金森病前驱期轻度认知功能障碍患者,按照就诊时间顺序分为对照组(2019年1月~2020年1月)与观察组(2020年2月~2021年1月),每组49例。对照组给予常规健康干预,观察组在对照组基础上实施基于保护动机理论的干预。对比两组患者三水平五维健康量表(EQ-5D-3L)评分、统一帕金森病评定量表(UPDRS)评分、北京版蒙特利尔认知评估量表(BJ-MoCA)评分、帕金森病睡眠评估量表(PDSS)评分及患者对不同干预方法的满意度。结果两组干预后与干预前相比,EQ-5D-3L、UPDRS评分降低,PDSS、BJ-MoCA评分升高,且观察组干预后EQ-5D-3L评分(5.12±1.60)分、UPDRS评分(64.51±6.28)分低于对照组的(6.04±1.54)、(73.69±7.24)分,PDSS评分(135.69±12.88)分、BJ-MoCA评分(27.58±0.51)分高于对照组的(110.47±10.36)、(25.99±0.84)分,差异具有统计学意义(P<0.05)。观察组患者对干预方法的满意度95.92%高于对照组的73.47%,差异具有统计学意义(P<0.05)。结论基于保护动机理论的干预应用于老年帕金森病前驱期轻度认知功能障碍患者中能够改善患者的生活质量及睡眠质量,提高认知功能及健康程度,且患者对该种干预方法的满意度较高。
Objective To analyze the effect of intervention based on protection motivation theory in elderly patients with mild cognitive impairment in prodromal Parkinson's disease.Methods A total of 98 elderly patients with mild cognitive impairment in prodromal Parkinson's disease were divided into the control group(January 2019 to January 2020)and the observation group(from February 2020 to January 2021)according to the order of treatment time,with 49 cases in each group.The control group was given routine health intervention,and the observation group was given the intervention based on protection motivation theory on the basis of the control group.Comparison was made on EuroQol Group's 5-domain 3 level questionnaire(EQ-5D-3L)score,Unified Parkinson's Disease Rating Scale(UPDRS)score,Beijing version of the Montreal Cognitive Assessment scale(BJ-MoCA)score,Parkinson's Disease Sleep Scale(PDSS)score and patient satisfaction with different interventions between the two groups.Results After intervention,compared with those before intervention,the scores of EQ-5D-3L and UPDRS decreased,while the scores of PDSS and BJ-MoCA increased;after intervention,the observation group had EQ-5D-3L score of(5.12±1.60)points and UPDRS score of(64.51±6.28)points,which were lower than(6.04±1.54)and(73.69±7.24)points of the control group;the observation group had PDSS score of(135.69±12.88)points and BJ-MoCA score of(27.58±0.51)points,which were higher than(110.47±10.36)and(25.99±0.84)points of the control group;the difference was statistically significant(P<0.05).The satisfaction of the observation group was 95.92%,which was higher than 73.47%of the control group,and the difference was statistically significant(P<0.05).Conclusion The intervention based on protection motivation theory can help improve the quality of life and sleep quality,cognitive function and health in elderly patients with mild cognitive impairment in the prodromal Parkinson's disease,and the patients are high satisfied with the intervention.
作者
王河
闫红
雷鸿雁
赵一宁
WANG He;YAN Hong;LEI Hong-yan(Department of Neurology,Liaoning Jinqiu Hospital,Shenyang 110016,China)
出处
《中国现代药物应用》
2024年第3期159-162,共4页
Chinese Journal of Modern Drug Application
关键词
保护动机理论
帕金森病前驱期
认知功能障碍
生活质量
睡眠质量
满意度
Protection motivation theory
Prodromal Parkinson's disease
Cognitive impairment
Quality of life
Sleep quality
Satisfaction
