基于园艺疗法理论的护理干预对伴认知功能障碍帕金森患者负性情绪及生活质量的影响

Effect of Nursing Intervention Based on Horticultural Therapy Theory on Negative Emotions and Quality of Life in Parkinson’s Disease Patients with Cognitive Dysfunction

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2026, 53(1)
作者
作者单位

秦皇岛市第一医院,神经内科三病区

摘要
【摘要】 目的 研究基于园艺疗法理论的护理干预对伴认知功能障碍的帕金森(Parkinson disease,PD)患者负性情绪及生活质量的影响。方法 观察我院在2023年6月到2024年12月就诊的伴认知功能障碍PD患者126例,按抽签法分为观察组63例、对照组63例。 对照组行常规护理。观察组联合对照组行基于园艺疗法理论的护理干预。比较两组患者负性情绪、认知功能、生活能力、生活质量及社会生活评分。结果 干预后两组汉密尔顿焦虑量表(Hamilton Anxiety Rating Scale,HAMA)、汉密尔顿抑郁量表(Hamilton Depression Scale,HAMD)评分显著下降,观察组低于对照组(P<0.05);干预后两组患者蒙特利尔认知评估(Montreal Cognitive Assessment,MoCA)、日常生活能力量表(Activity of Daily Living Scale,ADL)评分显著增加,观察组高于对照组(P<0.05);干预后两组患者健康状况调查简表(the MOS item short from health survey,SF-36)评分中生理机能(Physical Functioning,PF)、生理职能(Role-Physical,RP)、社会功能(Social Functioning,SF)、情感职能(Role-Emotional,RE)评分显著增加,观察组高于对照组(P<0.05);干预后两组患者社会适应功能评估量表(Social Adaptability Functional Evaluation,SAFE)、社交技能评定目录(Social Skills Scale,SSC)评分显著下降,观察组低于对照组(P<0.05)。结论 基于园艺疗法理论的护理干预能够减轻患者负性情绪,提高患者认知功能、生活能力、社会适应能力及社交技能,并能够提高生活质量。
Abstract
【Abstract】 Objective To investigate the impact of nursing interventions based on horticultural therapy theory on negative emotions and quality of life in Parkinson’s disease (PD) patients with cognitive dysfunction.Methods A study was conducted on 126 Parkinson’s disease (PD) patients with cognitive impairment who were treated at our hospital between June 2023 and December 2024. The participants were randomly assigned via lottery to either an observation group (n=63) or a control group (n=63). The control group received standard nursing care, whereas the observation group was given additional nursing interventions based on horticultural therapy principles. The two groups were compared in terms of negative emotions, cognitive function, daily living abilities, quality of life, and social adaptation scores.Results After the intervention, both groups showed significant decreases in Hamilton Anxiety Rating Scale (HAMA) and Hamilton Depression Scale (HAMD) scores, with the observation group scoring lower than the control group (P<0.05). Post-intervention, Montreal Cognitive Assessment (MoCA) and Activity of Daily Living Scale (ADL) scores significantly increased in both groups, with the observation group scoring higher than the control group (P<0.05). Post-intervention, there was a marked increase in physical function (PF), role-physical (RP), social function (SF), and emotional role (RE) scores in both groups, with the observation group achieving higher scores than the control group (P<0.05). Social Adaptability Functional Evaluation (SAFE) and Social Skills Scale (SSC) scores decreased significantly in both groups post-intervention, with the observation group scoring lower than the control group (P<0.05).Conclusion Nursing intervention based on horticultural therapy theory can reduce patients' negative emotions, improve patients' cognitive function, living ability, social adaptability and social skills, and improve their quality of life.
关键词
【关键词】园艺疗法;护理干预;认知功能障碍;帕金森;负性情绪;生活质量
KeyWord
【Key words】Horticultural therapy; Nursing intervention; Cognitive dysfunction; Parkinson disease; Negative emotions; Quality of life
基金项目
页码 303-305
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关璐. 基于园艺疗法理论的护理干预对伴认知功能障碍帕金森患者负性情绪及生活质量的影响 [J]. 国际精神病学杂志. 2026; 53; (1). 303 - 305.

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