PDF(Pubmed)
Abstract：
UNASSIGNED: To investigate the effect of Triangle tiered and graded management on the self-management behavior and quality of survival of Parkinson\'s Disease (PD) patients.
UNASSIGNED: Eighty ambulatory PD patients admitted to the neurology outpatient clinic of our hospital from June 2020 to January 2021 were selected for the study. Eighty patients were divided into 40 cases each in the test group and the control group using the random number table method. Patients in the control group were given conventional treatment and care, while in the test group, Triangle hierarchical management was applied on the basis of the control group. Non-motor symptoms [assessed by the Montreal Cognitive Inventory (MoCA), the Scale for Outcomes in PD for Autonomic Symptoms disability Scale (SCOPA-DS) and the Nocturnal Scale (SCOPA-NS)], motor symptoms [assessed by the Functional Gait Assessment (FGA), the Modified Ashworth Scale, and the Unified Parkinson\'s Disease Rating Scale (UPDRS-III)], quality of life (assessed by Barthel Index), medication adherence (self-administered medication adherence questionnaire), quality of survival (assessed by the 39-item Parkinson\'s Disease Quality of Survival Questionnaire, PDQ-39), and self-management effectiveness (assessed by the Chronic Disease Self-Efficacy Scale, symptom management and disease co-management) were compared between the two groups before and after the intervention. The two groups were also observed for satisfaction with care.
UNASSIGNED: After the intervention, the MoCA score, FGA score, Barthel Index, Medication adherence and all scores of self-management effectiveness were significantly higher in the test group than in the control group (P < 0.05); the SCOPA-DS score, SCOPA-NS score, Ashworth score, UPDRS-III score and PDQ-39 score were significantly lower than in the control group (P < 0.05). Satisfaction with nursing care was significantly higher in the test group than in the control group (P < 0.05).
UNASSIGNED: The application of Triangle\'s tiered and graded management to the home care of ambulatory PD patients was effective in improving their non-motor and motor symptoms, their ability to perform daily activities, medication adherence and self-management effectiveness, and their overall survival outcome.
UNASSIGNED: Eighty ambulatory PD patients admitted to the neurology outpatient clinic of our hospital from June 2020 to January 2021 were selected for the study. Eighty patients were divided into 40 cases each in the test group and the control group using the random number table method. Patients in the control group were given conventional treatment and care, while in the test group, Triangle hierarchical management was applied on the basis of the control group. Non-motor symptoms [assessed by the Montreal Cognitive Inventory (MoCA), the Scale for Outcomes in PD for Autonomic Symptoms disability Scale (SCOPA-DS) and the Nocturnal Scale (SCOPA-NS)], motor symptoms [assessed by the Functional Gait Assessment (FGA), the Modified Ashworth Scale, and the Unified Parkinson\'s Disease Rating Scale (UPDRS-III)], quality of life (assessed by Barthel Index), medication adherence (self-administered medication adherence questionnaire), quality of survival (assessed by the 39-item Parkinson\'s Disease Quality of Survival Questionnaire, PDQ-39), and self-management effectiveness (assessed by the Chronic Disease Self-Efficacy Scale, symptom management and disease co-management) were compared between the two groups before and after the intervention. The two groups were also observed for satisfaction with care.
UNASSIGNED: After the intervention, the MoCA score, FGA score, Barthel Index, Medication adherence and all scores of self-management effectiveness were significantly higher in the test group than in the control group (P < 0.05); the SCOPA-DS score, SCOPA-NS score, Ashworth score, UPDRS-III score and PDQ-39 score were significantly lower than in the control group (P < 0.05). Satisfaction with nursing care was significantly higher in the test group than in the control group (P < 0.05).
UNASSIGNED: The application of Triangle\'s tiered and graded management to the home care of ambulatory PD patients was effective in improving their non-motor and motor symptoms, their ability to perform daily activities, medication adherence and self-management effectiveness, and their overall survival outcome.
摘要：
UNASSIGNED：探讨三角分级管理对帕金森病（PD）患者自我管理行为和生存质量的影响。
UNASSIGNED：选择了2020年6月至2021年1月我院神经科门诊收治的80例卧床PD患者进行研究。采用随机数字表法将80例患者分为试验组和对照组各40例。对照组患者给予常规治疗和护理,在测试组中，在对照组的基础上采用三角分级管理。非运动症状[由蒙特利尔认知量表（MoCA）评估，用于自主症状残疾量表（SCOPA-DS）和夜间量表（SCOPA-NS）的PD结果量表]，运动症状[通过功能步态评估（FGA）评估，改良的Ashworth量表,和统一帕金森病评定量表(UPDRS-III)]，生活质量（通过Barthel指数评估），药物依从性（自我管理的药物依从性问卷），生存质量(通过39项帕金森病生存质量问卷评估，PDQ-39),和自我管理有效性(通过慢性病自我效能量表评估，干预前后比较两组症状管理和疾病共同管理)。观察两组护理满意度。
未经评估：干预后，MoCA得分,FGA得分,BarthelIndex,试验组用药依从性和自我管理效能各项评分均明显高于对照组(P<0.05);SCOPA-DS评分,SCOPA-NS得分,阿什沃思得分,UPDRS-III评分和PDQ-39评分明显低于对照组(P<0.05)。试验组护理满意度明显高于对照组(P<0.05)。
UNASSIGNED：将三角分级管理应用于卧床PD患者的家庭护理中，可有效改善其非运动和运动症状，他们进行日常活动的能力，药物依从性和自我管理有效性，以及他们的总体生存结果。
UNASSIGNED：选择了2020年6月至2021年1月我院神经科门诊收治的80例卧床PD患者进行研究。采用随机数字表法将80例患者分为试验组和对照组各40例。对照组患者给予常规治疗和护理,在测试组中，在对照组的基础上采用三角分级管理。非运动症状[由蒙特利尔认知量表（MoCA）评估，用于自主症状残疾量表（SCOPA-DS）和夜间量表（SCOPA-NS）的PD结果量表]，运动症状[通过功能步态评估（FGA）评估，改良的Ashworth量表,和统一帕金森病评定量表(UPDRS-III)]，生活质量（通过Barthel指数评估），药物依从性（自我管理的药物依从性问卷），生存质量(通过39项帕金森病生存质量问卷评估，PDQ-39),和自我管理有效性(通过慢性病自我效能量表评估，干预前后比较两组症状管理和疾病共同管理)。观察两组护理满意度。
未经评估：干预后，MoCA得分,FGA得分,BarthelIndex,试验组用药依从性和自我管理效能各项评分均明显高于对照组(P<0.05);SCOPA-DS评分,SCOPA-NS得分,阿什沃思得分,UPDRS-III评分和PDQ-39评分明显低于对照组(P<0.05)。试验组护理满意度明显高于对照组(P<0.05)。
UNASSIGNED：将三角分级管理应用于卧床PD患者的家庭护理中，可有效改善其非运动和运动症状，他们进行日常活动的能力，药物依从性和自我管理有效性，以及他们的总体生存结果。
