Effects of continuous nursing based on Siebens domain management model in patients with Parkinson's disease after deep brain stimulation
10.3760/cma.j.cn115682-20230706-02661
- VernacularTitle:基于Siebens领域管理模式的延续性护理在帕金森病脑深部电刺激术后患者中的应用
- Author:
Jing FU
1
;
Xiaotong XIA
;
Defeng LIU
;
Qiaoling YUAN
;
Jiaxin LIU
;
Liyun ZHONG
Author Information
1. 首都医科大学附属北京天坛医院神经外科，北京 100070
- Keywords:
Parkinson's disease;
Continuous nursing;
Quality of life;
Siebens domain management model;
Deep brain stimulation
- From:
Chinese Journal of Modern Nursing
2024;30(8):1084-1089
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of continuous nursing based on Siebens domain management model in patients with Parkinson's disease after deep brain stimulation.Methods:From January 2021 to June 2022, convenience sampling was used to select 169 Parkinson's disease patients who underwent deep brain electrical stimulation in the Functional Neurosurgery of Beijing Tiantan Hospital as the study subject. The patients were divided into a control group of 84 cases and an observation group of 85 cases using the random number table method. The control group received routine continuous nursing, while the observation group received the continuous nursing based on Siebens domain management model on the basis of the control group. This study compared the Activity of Daily Living (ADL) Scale, Morisky Medication Adherence Scale (MMAS), 39-item Parkinson Disease Questionnaire (PDQ-39), Parkinson's Disease Sleep Scale (PDSS) scores, and unexpected program control rate between two groups of patients after six months of discharge.Results:After six months of discharge, the ability of daily living score, quality of life score, and sleep quality score of both groups of patients improved compared to before intervention ( P<0.05), and the medication adherence of the observation group patients improved compared to before intervention ( P<0.05), and the differences were statistically significant. The ability of daily living score, medication adherence, quality of life score, and sleep quality score of the observation group patients after six months were higher than those of the control group, and the differences were statistically significant ( P<0.05). Within six months after discharge, the unexpected program control rate of the observation group was statistically lower than that of the control group ( P<0.05) . Conclusions:In the treatment and discharge rehabilitation process of Parkinson's patients treated with deep brain electrical stimulation, adopting continuous nursing based on the Siebens domain management model can help ensure patient medication compliance, improve postoperative sleep quality and quality of life, reduce unexpected program control frequency, and have certain clinical practice value.
