摘要
目的探讨雷火灸结合问题导向干预在老年帕金森病(PD)患者护理中的应用效果。方法选取2021年12月至2022年4月常熟市中医院(新区医院)收治的90例老年PD患者,按信封随机法分为观察组(46例)和对照组(44例)。对照组采用常规护理,观察组在对照组干预方法的基础上采用雷火灸结合问题导向干预。比较2组患者在干预2周和1个月后的临床症状、认知能力、步态参数和血清学指标水平,以及不良反应发生情况。结果干预2周和1个月后2组患者的步速和步频均快于入院当日,步宽均大于入院当日,统一帕金森病评定量表评分、甲壳质酶蛋白40和白介素-1β水平均低于入院当日,蒙特利尔认知评估量表评分和脑源性神经营养因子水平均高于入院当日,且观察组的上述指标水平和评分均比同期对照组更优,对比均存在统计学差异(P均<0.05)。干预1个月后,观察组的不良反应总发生率低于对照组(P<0.05)。结论雷火灸结合问题导向干预能提升老年PD患者认知功能,缓解临床症状,改善其血清学指标水平,减少不良反应的发生。
Objective To explore the application effect of thunder fire moxibustion combined with problem-oriented intervention in the elderly patients with Parkinson's disease(PD).Methods Ninety elderly PD patients admitted to Changshu Hospital of Traditional Chinese Medicine(New District Hospital)from December 2021 to April 2022 were enrolled and assigned into the observation group(46 cases)and the control group(44 cases)by random envelope method.The control group was treated with routine nursing,and the observation group was treated with thunder fire moxibustion combined with problem-oriented intervention on the basis of the intervention method of the control group.The clinical symptoms,cognitive ability,gait parameters,serological parameters,and adverse reactions of the two groups were compared after 2 weeks and 1 month of intervention.Results After 2 weeks and 1 month of intervention,the walk velocity and cadence of both groups were faster than those at admission,and the stride width was greater than that at admission.The scores of the Unified Parkinson's Disease Rating Scale and the levels of chitinase-3-like-1 protein and interleukin-1βwere lower than those at admission,and the scores of the Montreal Cognitive Assessment and the level of brain-derived neurotrophic factor were higher than those at admission.The above parameters and scores of the observation group were better than those of the control group,with significant differences(all P<0.05).After 1 month of intervention,the incidence of adverse reactions in the observation group was lower than that in the control group(P<0.05).Conclusion Thunder fire moxibustion combined with problem-oriented intervention can improve the cognitive function,clinical symptoms,serological parameters of elderly PD patients,and reduce the adverse reactions.
作者
张卫玲
翁羽
汪群娟
ZHANG Weiling;WENG Yu;WANG Qunjuan(Changshu Hospital of Traditional Chinese Medicine(New District Hospital),Suzhou,Jiangsu,215500,China)
出处
《中西医结合护理（中英文）》
2023年第3期65-68,共4页
Journal of Clinical Nursing in Practice
关键词
帕金森病
老年
雷火灸
问题导向干预
认知能力
Parkinson's disease
elderly
thunder fire moxibustion
problem-oriented intervention
cognitive ability
