【摘要】 目的 探讨医护与照顾者共管模式在老年帕金森病(PD)患者中的应用效果。方法 回顾性分析2022-01—2023-03于河南省人民医院就诊的104例PD患者的临床资料，根据护理方式分为2组，各52例。对照组实施常规延续性护理，观察组在对照组基础上实施医护与照顾者共管模式。干预前，干预后第3个月、6个月时，采用帕金森综合评定量表(UPDRS)评价患者的运动功能；采用帕金森生存质量问卷(PDQL)评价患者的生存质量；采用ZBI护理负担量表评价照顾者的压力水平。结果 干预前2组患者的UPDRS、PDQL评分差异均无统计学意义(P>0.05)。干预后3个月、6个月时，观察组患者的UPDRS评分低于对照组，PDQL评分明显高于对照组，差异均有统计学意义(P<0.05)。干预前、干预3个月时，2组照顾者的ZBI评分差异无统计学意义(P>0.05),干预后6个月时，观察组照顾者的ZBI评分低于对照组，差异有统计学意义(P<0.05)。结论 医护与照顾者共管模式实现了延续性护理与高质量居家管理的高效衔接，促进了PD患者疾病管理的依从性，减轻了照顾者的照顾压力，并有利于提升PD患者的整体生存质量。更多还原

【Abstract】 Objective To explore the application effect of nursing and caregiver co-management model in elderly patients with Parkinson’s disease(PD).Methods A retrospective analysis was conducted on 104 Parkinson’s patients who were admitted to the Neurology Clinic of Henan Provincial People’s Hospital from January 2022 to March 2023. They were divided into control group and observation group based on their different nursing methods, with 52 patients in each group.The control group was given routine continuous care, and the observation group was given the mode of nursing care and caregiver co-management based on it.Parkinson’s Disease Comprehe nsive Rating Scale, Parkinson’s Disease Quality of Life questionnaire and Parkinson’s disease family Caregiver Burden Scale were used to evaluate the two groups patients and caregivers at 3 months and 6 months after intervention.Results Before intervention, there was no significant dif ference in UPDRS and PDQL scores between 2 groups(P>0.05). At 3 months and 6 months after the intervention, the UPDRS score of the observation group was significantly lower than that of the control group, and the PDQL score was significantly higher than that of the control group, with statistical significance(P<0.05). There was no statistically significant difference in ZBI scores between the two groups before intervention and at 3 months after intervention(P<0.05). At 6 months after intervention, ZBI scores of the caregivers in the observation group were significantly lower than those of the control group, with statistically significant difference(P<0.05).Conclusion The medical care and caregiver co-management mode realizes the efficient connection between continuous care and high-quality home management, promotes the compliance of PD patients with disease management, reduces the caregiver’s care pressure, and is conducive to improving the overall quality of life of PD patients.更多还原