Objective The quality of life of older people with Parkinson's disease(PD)is not optimistic and is the fo-cus 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 pa-tients 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,statis-tics 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 dis-charge.Activities of daily living(ADL)and the 39-item Parkinson disease questionnaire(PDQ-39)scores were com-pared between the two groups.Results The ADL scores of the observation group were significantly increased at admis-sion,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 clini-cal application.
关键词
老年综合评估/护理/帕金森病/老年人/生活质量
Key words
Comprehensive geriatric assessment of the elderly/Nursing/Parkinson's disease/The elderly/Quality of life