Volume 22 Issue 1
Jan.  2024
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(1): 163-167
XIA Xuefen, YANG Suili, LIU Jiongjiong, ZHANG Yang, XU Huiqin. Effect of nursing intervention based on geriatric comprehensive assessment on quality of life in elderly patients with Parkinson's disease[J]. Chinese Journal of General Practice, 2024, 22(1): 163-167. doi: 10.16766/j.cnki.issn.1674-4152.003355
Citation: XIA Xuefen, YANG Suili, LIU Jiongjiong, ZHANG Yang, XU Huiqin. Effect of nursing intervention based on geriatric comprehensive assessment on quality of life in elderly patients with Parkinson's disease[J]. Chinese Journal of General Practice, 2024, 22(1): 163-167. doi: 10.16766/j.cnki.issn.1674-4152.003355
shu

Effect of nursing intervention based on geriatric comprehensive assessment on quality of life in elderly patients with Parkinson's disease

doi: 10.16766/j.cnki.issn.1674-4152.003355
  • 1.

    Department of Neurology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325000, China

Funds:

 LGD22H090011

 Y20220548

  • Received Date: 2023-09-18
    Available Online: 2024-03-09
    Abstract
  •   Objective  The quality of life of older people with Parkinson's disease (PD) is not optimistic and is the focus of clinical nursing research. This study investigated the effect of a nursing intervention based on a nursing intervention based on a comprehensive geriatric assessment (CGA) on their quality of life.  Methods  A total of 120 elderly PD patients admitted to the Department of Neurology, the First Affiliated Hospital of Wenzhou Medical University from August 2021 to August 2022 were selected and divided into control group and observation group, with 60 cases in each group by random number table method. As 2 cases were lost to follow-up in each of the two groups during the study period, statistics and data analysis were performed on 58 cases in each group. The control group received routine care, the observation group received the CGA-based care intervention, and the intervention and observation continued until 6 months after discharge. Activities of daily living (ADL) and the 39-item Parkinson disease questionnaire (PDQ-39) scores were compared between the two groups.  Results  The ADL scores of the observation group were significantly increased at admission, discharge, 1 month and 6 months after discharge (P < 0.05). The ADL scores [(90.17±13.95) points, (91.18±13.05) points] at 1 and 6 months after discharge were significantly higher than those of the control group [(82.16±18.69) points, (79.57±22.19) points] and the difference was statistically significant (P < 0.05). The PDQ-39 scores of both groups at 6 months after discharge were significantly lower than those at admission, and the PDQ-39 scores of the observation group at 6 months after discharge [(29.71±23.97) points] were significantly lower than those of the control group [(45.33±21.84) points], with statistical significance (P < 0.05).  Conclusion  A nursing intervention based on CGA can effectively improve activities of daily living and quality of life in older people with PD, which is worthy of clinical application.

     

    • FullText(HTML)
  • loading
    • References(24)
  • [1]
    ZHU B, YIN D, ZHAO H, et al. The immunology of Parkinson's disease[J]. Semin Immunopathol, 2022, 44(5): 659-672. doi: 10.1007/s00281-022-00947-3
    [2]
    TYSNES O B, STORSTEIN A. Epidemiology of Parkinson's disease[J]. J Neural Transm (Vienna), 2017, 124(8): 901-905. doi: 10.1007/s00702-017-1686-y
    [3]
    SIMON D K, TANNER C M, BRUNDIN P. Parkinson's disease epidemiology, pathology, genetics, and pathophysiology[J]. Clin Geriatr Med, 2020, 36(1): 1-12. doi: 10.1016/j.cger.2019.08.002
    [4]
    王伟, 曹庆华, 孙光玲, 等. 脑白质病变与帕金森病患者运动症状及非运动症状的相关性分析[J]. 中华全科医学, 2022, 20(2): 237-239. doi: 10.16766/j.cnki.issn.1674-4152.002321

    WANG W, CAO Q H, SUN G L, et al. Correlation analysis of white matter lesions and motor symptoms and non-motor symptoms in Parkinson's patients[J]. Chinese Journal of General Practice, 2022, 20(2): 237-239. doi: 10.16766/j.cnki.issn.1674-4152.002321
    [5]
    PARKER S G, MCCUE P, PHELPS K, et al. What is comprehensive geriatric assessment (CGA)? An umbrella review[J]. Age Ageing, 2018, 47(1): 149-155. doi: 10.1093/ageing/afx166
    [6]
    江志远, 钟世彪, 唐莉, 等. 老年综合评估在老年Ⅲ~Ⅳ度混合痔手术患者健康管理中的应用效果[J]. 结直肠肛门外科, 2022, 28(6): 583-587. https://www.cnki.com.cn/Article/CJFDTOTAL-DCGM202206012.htm

    JIANG Z Y, ZHONG S B, TANG L, et al. Application of comprehensive geriatric assessment in health management of older patients with grade Ⅲ to Ⅳ mixed hemorrhoids undergoing surgery[J]. Colorectal and anal surgery, 2022, 28(6): 583-587. https://www.cnki.com.cn/Article/CJFDTOTAL-DCGM202206012.htm
    [7]
    王丽娜, 张炜, 李媛媛, 等. 基于老年综合评估的干预方案在老年2型糖尿病患者中的应用[J]. 河北医药, 2023, 45(16): 2457-2460. https://www.cnki.com.cn/Article/CJFDTOTAL-HBYZ202316012.htm

    WANG L N, ZHANG W, LI Y Y, et al. Application of interventions based on comprehensive geriatric assessment in elderly patients with type 2 diabetes mellitus[J]. Hebei Med J, 2023, 45(16): 2457-2460. https://www.cnki.com.cn/Article/CJFDTOTAL-HBYZ202316012.htm
    [8]
    刘颖, 杨继红. 老年综合评估干预在慢性肾脏病患者中的应用[J]. 中华老年医学杂志, 2020, 39(11): 1365-1368. doi: 10.3760/cma.j.issn.0254-9026.2020.11.028

    LIU Y, YANG J H. Comprehensive geriatric assessment and intervention in elderly patients with chronic kidney disease[J]. Chinese Journal of Geriatrics, 2020, 39(11): 1365-1368. doi: 10.3760/cma.j.issn.0254-9026.2020.11.028
    [9]
    张冰, 王靖茹. 基于老年综合评估的护理干预对脑卒中患者的影响[J]. 护理实践与研究, 2022, 19(19): 2910-2915. doi: 10.3969/j.issn.1672-9676.2022.19.014

    ZHANG B, WANG J R. Effect of nursing intervention based on comprehensive geriatric assessment in stroke patients[J]. Nursing Practice and Research, 2022, 19(19): 2910-2915. doi: 10.3969/j.issn.1672-9676.2022.19.014
    [10]
    刘军. 中国帕金森病的诊断标准(2016版)[J]. 中华神经科杂志, 2016, 49(4): 268-271. doi: 10.3760/cma.j.issn.1006-7876.2016.04.002

    LIU J. Diagnostic criteria for Parkinson's disease in China (2016 edition)[J]. Chinese Journal of Neurology, 2016, 49(4): 268-271. doi: 10.3760/cma.j.issn.1006-7876.2016.04.002
    [11]
    宋鲁平, 王强. 帕金森病康复中国专家共识[J]. 中国康复理论与实践, 2018, 24(7): 745-752. https://www.cnki.com.cn/Article/CJFDTOTAL-ZKLS201807002.htm

    SONG L P, WANG Q. Rehabilitation for Parkinson's Disease: Chinese Expert Consensus[J]. Chinese Journal of Rehabilitation Theory and Practice, 2018, 24(7): 745-752. https://www.cnki.com.cn/Article/CJFDTOTAL-ZKLS201807002.htm
    [12]
    童卫东, 姚宏伟, 张忠涛. 《中国成人慢性便秘评估与外科处理临床实践指南(2022版)》解读: 一些值得关注的问题[J]. 结直肠肛门外科, 2022, 28(2): 115-118. https://www.cnki.com.cn/Article/CJFDTOTAL-DCGM202202003.htm

    TONG W D, YAO H W, ZHANG Z T. Clinical practice guideline on the evaluation and management of chronic constipation for Chinese adults (2022 edition)[J]. Colorectal and anal surgery, 2022, 28(2): 115-118. https://www.cnki.com.cn/Article/CJFDTOTAL-DCGM202202003.htm
    [13]
    O'MALLEY N, CLIFFORD A M, CONNEELY M, et al. Effectiveness of interventions to prevent falls for people with multiple sclerosis, Parkinson's disease and stroke: an umbrella review[J]. BMC Neurol, 2021, 21(1): 378. doi: 10.1186/s12883-021-02402-6
    [14]
    吴延, 王广玲, 聂作婷, 等. 2022年版《世界指南: 老年人跌倒的预防与管理》解读[J]. 中国全科医学, 2023, 26(10): 1159-1163, 1171. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX202310001.htm

    WU Y, WANG G L, NIE Z T, et al. Interpretation of the 2022 World Guidelines for Falls Prevention and Management for Older Adults: a Global Initiative[J]. Chinese General Practice, 2023, 26(10): 1159-1163, 1171. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX202310001.htm
    [15]
    张伟伟, 黄墩兵, 尹梦, 等. LSVT-BIG联合重复经颅磁刺激对帕金森病患者平衡及步行功能的影响[J]. 浙江医学, 2022, 44(20): 2194-2199. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJYE202220012.htm

    ZHANG W W, HUANG D B, YIN M, et al. Efficacy of Lee Silverman voice treatment-BIG combined with repetitive transcranial magnetic stimulation for balance and walking function in patients with Parkinson's disease[J]. Zhejiang Medical Journal, 2022, 44(20): 2194-2199. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJYE202220012.htm
    [16]
    WROBLEWSKA A, GAJOS A, SMYCZYNSKA U, et al. The therapeutic effect of nordic walking on freezing of gait in Parkinson's disease: a pilot study[J]. Parkinsons Dis, 2019, 2(10): 3846279. DOI: 10.1155/2019/3846279.
    [17]
    DEUEL L M, SEEBERGER L C. Complementary therapies in Parkinson' disease: a review of acupuncture, Tai Chi, Qi Gong, Yoga, and Cannabis[J]. Neurotherapeutics, 2020, 17(4): 1434-1455. doi: 10.1007/s13311-020-00900-y
    [18]
    FAN B, JABEEN R, BO B, et al. What and how can physical activity prevention function on Parkinson's disease?[J]. Oxid Med Cell Longev, 2020, 12(1): 4293071. DOI: 10.1155/2020/4293071.
    [19]
    BEARSS K A, DESOUZA J F X. Parkinson's disease motor symptom progression slowed with multisensory dance learning over 3-years: a preliminary longitudinal investigation[J]. Brain Sciences, 2021, 11(7): 895. doi: 10.3390/brainsci11070895
    [20]
    GALEOTO G, COLALELLI F, MASSAI P, et al. Quality of life in Parkinson's disease: Italian validation of the Parkinson's disease questionnaire (PDQ-39-IT)[J]. Neurol Sci, 2018, 39(11): 1903-1909. doi: 10.1007/s10072-018-3524-x
    [21]
    ZHAO N, YANG Y, ZHANG L, et al. Quality of life in Parkinson's disease: a systematic review and meta-analysis of comparative studies[J]. CNS Neurosci Ther, 2021, 27(3): 270-279. doi: 10.1111/cns.13549
    [22]
    张建华, 张洁, 李虹. 老年综合评估技术在老年护理工作中的应用进展[J]. 中华现代护理杂志, 2019, 25(13): 1585-1590.

    ZHANG J H, ZHANG J, LI H. Application progress of comprehensive geriatric assessment in geriatric nursing[J]. Chinese Journal of Modern Nursing, 2019, 25(13): 1585-1590.
    [23]
    VERONESE N, CUSTODERO C, DEMURTAS J, et al. Comprehensive geriatric assessment in older people: an umbrella review of health outcomes[J]. Age Ageing, 2022, 51(5): 35524746. DOI: 10.1093/ageing/afac104.
    [24]
    黄梅, 陈华玉, 季晶, 等. 老年帕金森病病人焦虑和抑郁情绪与生活质量的相关性研究[J]. 实用老年医学, 2023, 37(1): 96-99. https://www.cnki.com.cn/Article/CJFDTOTAL-SYLA202301024.htm

    HUANG M, CHEN H Y, JI J, et al. Comprehensive geriatric assessment and intervention in elderly patients with chronic kidney disease[J]. Chinese Journal of Geriatrics, 2023, 37(1): 96-99. https://www.cnki.com.cn/Article/CJFDTOTAL-SYLA202301024.htm
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(3)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (292) PDF downloads(17) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return