正性暗示联合渐进式康复对老年帕金森病患者认知功能、自我效能及血清神经递质水平的影响

Effect of positive suggestion combined with progressive rehabilitation on cognitive function, self-efficacy and serum neurotransmitter levels in elderly patients with Parkinsons disease

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2021, 48(5)
作者
作者单位

安阳市第三人民医院神经内科 ;

摘要
【摘要】探讨老年帕金森患者采用正性暗示联合渐进式康复训练对认知功能、自我效能以及血清神经递质水平的影响。方法 纳入2018年3月~2020年9月期间在我院接受治疗的123例老年帕金森患者作为观察对象,掷币法将其分成2组,两组患者均进行常规药物治疗,对照组61例接受正性暗示联合常规护理方案,观察组62例患者在对照组护理基础上加以渐进式康复护理,比较两组患者认知功能、自我效能以及血清神经递质水平变化。结果 干预后,两组患者UPDRS评分明显降低,且观察组较对照组更低,组间比较差异有意义(P<0.05);两组患者MoCA评分及GSES评分明显升高,且观察组较对照组更高,组间比较差异有意义(P<0.05);两组患者BDNF及5-HT水平明显升高,且观察组较对照组更高,组间比较差异有意义(P<0.05)。结论 正性暗示联合渐进式康复干预能有效提高PD患者自我效能感,显著增加神经递质水平,改善患者认知功能,值得推荐。
Abstract
【Abstract】Objective To explore the effect of positive suggestion combined with progressive rehabilitation training on cognitive function, self-efficacy and serum neurotransmitter levels in elderly Parkinsons patients. Methods A total of 123 elderly Parkinsons patients who were treated in our hospital from March 2018 to September 2020 were included as observation objects. They were divided into 2 groups by coin tossing. Both groups were treated with conventional drugs and 61 cases in the control group Accepting positive suggestion combined with conventional nursing program, 62 patients in the observation group received gradual rehabilitation care based on the nursing of the control group, and the changes in cognitive function, self-efficacy and serum neurotransmitter levels of the two groups were compared. Results After the intervention, the UPDRS scores of the two groups of patients were significantly reduced, and the observation group was lower than the control group, and the difference between the groups was significant (P<0.05); the MoCA score and GSES score of the two groups were significantly increased, and the observation group was higher than the control group The group is higher, the difference between the groups is significant (P<0.05); the levels of BDNF and 5-HT in the two groups are significantly higher, and the observation group is higher than the control group, the difference between the groups is significant (P<0.05). Conclusion Positive suggestion combined with progressive rehabilitation intervention can effectively improve the self-efficacy of PD patients, significantly increase the level of neurotransmitters, and improve the cognitive function of patients. It is worth recommending.
关键词
【关键词】正性暗示;渐进式康复;老年帕金森;认知功能;神经递质
KeyWord
[Keywords] positive cues; progressive rehabilitation; elderly Parkinson; cognitive function; neurotransmitter
基金项目
页码 919-922
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申敏*. 正性暗示联合渐进式康复对老年帕金森病患者认知功能、自我效能及血清神经递质水平的影响 [J]. 国际精神病学杂志. 2021; 48; (5). 919 - 922.

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