Effect of Continuous Nursing Mode on Negative Emotions and Self-Management of Patients With Parkinson’s Disease

Abstract

This research aims to explore the influence of continuous nursing mode on negative emotions and self-management of patients with Parkinson’s disease (PD).Seventy-two PD patients admitted to our hospital from February 2017 to March 2019 were collected in this experiment. Among them, those treated by routine nursing were divided into the control group (CG) (35 cases), and those with continuous nursing were included into the research group (RG) (37 cases). Self-perceived burden scale (SPBS) was used as an evaluation standard for patients; The higher the score, the more serious the self-perceived burden is. Before nursing and one month after nursing, the depression scores were evaluated by the Hamilton Depression Scale (HAMD); The higher the score, the more serious the depression is. The sleep quality of patients before and after nursing was assessed by the Pittsburgh Sleep Quality Index (PSQI), 21 scores in total; The higher the score, the lower the sleep quality of patients after delivery is. The function of patients’ activities of daily living (ADL) was measured by the Barthel index (BI), totally 100 scores; The higher the score, the stronger the ADL is. The limb function of patients was analyzed by the Fugl-Meyer assessment of motor function (FAM), 100 scores in total; The higher the score, the stronger the limb function is. The quality of life of patients was evaluated by the quality of life scale (GQOL-74). There are four dimensions, 100 points for each; The higher the score, the better the quality of life is. The patients’ nursing satisfaction of our hospital were assessed by the self-made Nursing Satisfaction Questionnaire, 5 points for each question. The total score < 70 was dissatisfied, 70-89 was satisfied, and ≥ 90 was very satisfied. Satisfaction = (very satisfied+satisfied)/total cases ×100%. There was no difference in SPBS and HAMD scores between both groups before nursing intervention (P > 0.05), but the scores in the RG were lower than those in the CG after nursing intervention (P < 0.05). There was no marked difference in PSQI scores between the two groups before nursing (P > 0.05), but the scores of the RG decreased after nursing compared with the CG (P < 0.05). The FAM and BI scores of both groups showed no difference before nursing intervention (P > 0.05), but the scores in the RG increased after nursing compared with the CG (P < 0.05).  Complications occurred in both groups 6 months after discharge; The total incidence in the RG was 2.70%, dramatically lower that of the CG (22.86%) (P < 0.05).The GQOL-74 scores (physical function, mental function, social function and material life) of patients in the RG were higher than those in the CG (P < 0.05). The nursing satisfaction of patients in the RG was 97.30%, higher than that in the CG (77.14%) (P < 0.05).Continuous nursing can improve the negative emotions and self-management of PD patients, reduce the occurrence of complications, and perfect their quality of sleep and life.