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叙事护理联合循证护理对帕金森病患者病耻感的影响

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目的 研究叙事护理联合循证护理对帕金森病患者病耻感的影响.方法 选取2021年10月至2022年12月浙江省温州市中心医院收治的120例帕金森病伴有病耻感患者,按照随机数字表法将其分为对照组和观察组,各60例.对照组给予循证护理模式,观察组采取叙事护理联合循证护理模式.比较两组干预前后慢性疾病病耻感量表评分、社会影响量表评分、汉密尔顿抑郁量表评分,以及帕金森病生活质量量表-32评分.结果 干预后,两组内在病耻感、外在病耻感评分低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05).干预后,两组社会影响量表总分、社会排斥、经济歧视、内在病耻感、社会隔离评分低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05).干预后,两组汉密尔顿抑郁量表、帕金森病生活质量量表-32评分低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05).结论 对于帕金森病伴有病耻感患者,给予叙事护理联合循证护理可降低患者的病耻感评分,在一定程度上使患者的抑郁状态有所改善,从而提高生活质量.
Impaction of narrative nursing combined evidence-based nursing on stig-ma in Parkinson disease patients
Objective To analyze the effect of narrative nursing combined evidence-based nursing on stigma in Parkinson disease patients.Meth-ods A total of 120 patients with Parkinson disease with stigma admitted to Wenzhou Central Hospital,Zhejiang Province from October 2021 to De-cember 2022 were selected and they were divided into control group and observation group according to random number table method,with 60 cases in each group.The control group was given evidence-based nursing mode,and the observation group was given narrative nursing combined with ev-idence-based nursing mode.Chronic disease stigma scale scores,social impact scale scores,Hamilton depression scale scores,and Parkinson dis-ease quality of life scale-32 scores were compared between the two groups before and after intervention.Results After intervention,the scores of internal stigma and external stigma in two groups were lower than before intervention,and those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the total score of social impact scale,social exclusion,economic discrimination,intrinsic stigma,and social isolation scores of the two groups were lower than before intervention,and those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of Hamilton depression scale and Parkinson disease quality of life scale-32 in two groups were lower than before intervention,and those in the observation group was lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion For patients with Parkinson disease accompanied by shame,providing narrative nursing combined with evidence-based nursing can significantly reduce the shame score of patients,improve their depression status to a certain extent,and thus improve their quality of life.

Narrative nursingParkinson diseaseEvidence based nursingSick shameQuality of life

黄西西、张雅西、徐约丹、黄小亚

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浙江省温州市中心医院神经内科,浙江温州 325000

浙江省温州市中心医院护理部,浙江温州 325000

叙事护理 帕金森病 循证护理 病耻感 生活质量

浙江省医药卫生科技计划项目浙江省温州市基础性医疗卫生科技项目

2024KY1624Y20210460

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(16)