摘要

【摘要】
目的 分析聚焦解决模式联合认知行为疗法用于帕金森病护理管理对患者认知功能、精神状态的影响。

方法 选择2021年3月~2024年3月在我院进行治疗的150例帕金森患者，随机数字表法分为对照组（认知行为疗法，n=75）及观察组（聚焦解决模式联合认知行为疗法，n=75）。比较两组治疗前后认知功能、帕金森综合量表（unified Parkinson's disease rating scale,UPDRS）评分、心理状态相关评分以及自我效能评分。

结果 治疗后两组认知功能相关评分均升高，观察组升高幅度优于对照组（P＜0.05）；治疗后两组UPDRS各维度评分均降低，观察组UPDRS各维度评分降低幅度优于对照组（P＜0.05）；治疗后两组心理状态相关评分均降低，观察组心理状态相关评分降低幅度优于对照组（P＜0.05）；治疗后两组自我效能评分均升高，观察组自我效能评分上升幅度优于对照组（P＜0.05）。

结论 在认知行为疗法干预基础上联合聚焦解决模式可进一步提高帕金森病护理管理效果，改善临床症状，提高患者认知功能、心理状态以及自我效能。

关键词：【关键词】聚焦解决模式；认知行为疗法；帕金森病；护理管理；精神状态

ABSTRACT

【Abstract】
Objective Analysis focused on solving model combined cognitive behavioral therapy for Parkinson's disease care management affect patients' cognitive function, mental state.Method A total of 150 patients with Parkinson's disease treated in our hospital from March 2021 to March 2024 were selected and randomly divided into control group (cognitive behavioral therapy, n=75) and observation group (solution-focused approach combined with cognitive behavioral therapy, n=75).Compare two groups of cognitive function before and after the treatment, Parkinson's comprehensive scale (unified Parkinson 's diseases, rating scale and UPDRS) score, mental state grade and self-efficacy.Result Related score of cognitive function in the two groups after treatment, the observation group rise superior to control group (P < 0.05);After treatment, the UPDRS scores of the two groups were decreased, and the reduction of UPDRS scores of the observation group was better than that of the control group (P < 0.05).Two groups after treatment psychology related scores are lower, group psychology related score lower amplitude is better than that of control group (P < 0.05);Self-efficacy scores after treatment in two group were higher, the observation group self-efficacy scores rise superior to control group (P < 0.05).

Conclusion   Cognitive-behavioral therapy combined with solution-focused approach can further improve the effect of nursing management of Parkinson's disease, improve clinical symptoms, cognitive function, psychological state, quality of life and self-efficacy of patients.

Key words: 【Key words】Focused solution mode; Cognitive behavioral therapy; Parkinson's disease; Nursing management; Mental state