The effect of empathetic nursing combined with psychological intervention on the emotional and cognitive functions of Parkinson's disease patients with depression
共情护理联合心理干预对帕金森病伴抑郁患者情绪及认知功能的影响

摘要

目的 研究综合方法对目前正面临情绪低落的帕金森病患者的心理和认知产生的影响，该方法结合了共情护理和心理支持。方法 我们的研究在本院进行，时间跨度为2023年3月至2024年3月。我们选择了50名患有帕金森病和抑郁症的患者作为研究对象，并采用随机数表法将他们分成两组：对照组和观察组，每组各25人。对照组接受标准护理，而观察组则接受关怀性护理和心理干预措施，对比两组情绪评分、认知功能评分。结果 观察组抑郁评分（SDS）、焦虑评分（SAS）显著低于对照组，组间对比明显（P＜0.05）；在两组之间，视觉空间技能、执行功能、注意力持续时间、抽象推理能力、延迟记忆提取和定向能力方面的差异未达到显著水平（P>0.05）。但观察组命名能力、语言能力评分及认知功能总分显著高于对照组，组间对比明显（P＜0.05）。结论 将共情护理与心理支持相结合是一种有效的策略，可缓解帕金森病和抑郁症患者不良情绪的症状，并改善他们的认知功能。

Abstract

Objective To investigate the psychological and cognitive impact of an integrated approach that combines empathic care and psychological support on patients with Parkinson's disease who are currently facing depression.
Methods Our study was conducted at our institute and spanned the period from March 2023 to March 2024. We selected 50 patients with Parkinson's disease and depression as study subjects and divided them into two groups using a random number table: control group and observation group, with 25 people in each group. The control group received standard nursing, while the observation group received caring nursing and psychological intervention. The emotional scores and cognitive function scores of the two groups were compared.
Results Depression score (SDS) and anxiety score (SAS) in observation group were significantly lower than those in control group, and the comparison between groups was significant (P < 0.05). There were no significant differences in visuospatial skills, executive function, attention span, abstract reasoning ability, delayed memory retrieval and orientation ability between the two groups (P>0.05). However, the naming ability, language ability score and total cognitive function score of observation group were significantly higher than those of control group, and the comparison between groups was significant (P < 0.05).
Conclusion   Combining empathic care with psychological support is an effective strategy to alleviate symptoms of bad mood and improve cognitive function in people with Parkinson's disease and depression.