{"title":"基于Roy适应模型的护理干预在改善帕金森病患者生理、心理和社会预后方面的有效性","authors":"Le Chen","doi":"10.1186/s12883-025-04232-2","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the effectiveness of a comprehensive nursing intervention based on Roy's Adaptation Model (RAM) in improving quality of life, psychological adaptation, and social functioning in patients with Parkinson's disease (PD).</p><p><strong>Methods: </strong>A total of 96 patients with idiopathic PD were randomly assigned to the RAM group or the usual care group. The RAM intervention included a 3-month program addressing physiological, psychological, role function, and interdependence adaptation needs. Outcomes were assessed at baseline, 1 month, 3 months, and 6 months using the Scale for Outcomes in Parkinson' s Disease - Autonomic Symptoms (SCOPA-AUT), Pittsburgh Sleep Quality Index (PSQI), Fatigue Severity Scale (FSS), Beck Depression Inventory-II (BDI-II), Beck Anxiety Inventory (BAI), General Self-Efficacy Scale (GSES), Parkinson' s Disease Social Functioning Scale (PDSFS), Multidimensional Scale of Perceived Social Support (MSPSS), and Parkinson' s Disease Questionnaire-39 (PDQ-39).</p><p><strong>Results: </strong>The RAM group demonstrated significant improvements in autonomic function, sleep quality, and fatigue compared to the usual care group (SCOPA-AUT, PSQI, and FSS). Psychological adaptation improved with reduced depressive and anxiety symptoms (BDI-II and BAI) and increased self-efficacy (GSES). Role function and interdependence adaptation were significantly enhanced, as indicated by higher PDSFS and MSPSS scores. Quality of life, assessed using PDQ-39, showed significant and sustained improvements across all domains, including mobility, activities of daily living, emotional well-being, and social support.</p><p><strong>Conclusion: </strong>The RAM-based care intervention effectively enhanced physiological and psychological outcomes, social functioning, and quality of life in PD patients, highlighting its value in promoting holistic, patient-centered nursing care.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":9170,"journal":{"name":"BMC Neurology","volume":"25 1","pages":"219"},"PeriodicalIF":2.2000,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103793/pdf/","citationCount":"0","resultStr":"{\"title\":\"Effectiveness of the Roy adaptation model-based nursing intervention in improving physiological, psychological, and social outcomes in patients with Parkinson's disease.\",\"authors\":\"Le Chen\",\"doi\":\"10.1186/s12883-025-04232-2\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>This study aimed to evaluate the effectiveness of a comprehensive nursing intervention based on Roy's Adaptation Model (RAM) in improving quality of life, psychological adaptation, and social functioning in patients with Parkinson's disease (PD).</p><p><strong>Methods: </strong>A total of 96 patients with idiopathic PD were randomly assigned to the RAM group or the usual care group. The RAM intervention included a 3-month program addressing physiological, psychological, role function, and interdependence adaptation needs. Outcomes were assessed at baseline, 1 month, 3 months, and 6 months using the Scale for Outcomes in Parkinson' s Disease - Autonomic Symptoms (SCOPA-AUT), Pittsburgh Sleep Quality Index (PSQI), Fatigue Severity Scale (FSS), Beck Depression Inventory-II (BDI-II), Beck Anxiety Inventory (BAI), General Self-Efficacy Scale (GSES), Parkinson' s Disease Social Functioning Scale (PDSFS), Multidimensional Scale of Perceived Social Support (MSPSS), and Parkinson' s Disease Questionnaire-39 (PDQ-39).</p><p><strong>Results: </strong>The RAM group demonstrated significant improvements in autonomic function, sleep quality, and fatigue compared to the usual care group (SCOPA-AUT, PSQI, and FSS). Psychological adaptation improved with reduced depressive and anxiety symptoms (BDI-II and BAI) and increased self-efficacy (GSES). Role function and interdependence adaptation were significantly enhanced, as indicated by higher PDSFS and MSPSS scores. 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引用次数: 0
摘要
目的：本研究旨在评估基于Roy适应模型（RAM）的综合护理干预在改善帕金森病（PD）患者生活质量、心理适应和社会功能方面的有效性。方法：96例特发性PD患者随机分为RAM组和常规护理组。RAM干预包括一个为期3个月的项目，涉及生理、心理、角色功能和相互依赖适应需求。采用帕金森病结局-自主症状量表（SCOPA-AUT）、匹兹堡睡眠质量指数（PSQI）、疲劳严重程度量表（FSS）、贝克抑郁量表- ii （BDI-II）、贝克焦虑量表（BAI）、一般自我效能量表（GSES）、帕金森病社会功能量表（PDSFS）、感知社会支持多维量表（MSPSS）和帕金森病问卷-39 （PDQ-39）在基线、1个月、3个月和6个月时评估结果。结果：与常规护理组相比，RAM组在自主神经功能、睡眠质量和疲劳方面表现出显著改善（SCOPA-AUT、PSQI和FSS）。心理适应随着抑郁和焦虑症状（BDI-II和BAI）的减少和自我效能感（GSES）的增加而改善。角色功能和相互依赖适应显著增强，PDSFS和MSPSS得分均较高。使用PDQ-39评估的生活质量在所有领域都显示出显著和持续的改善，包括流动性、日常生活活动、情感健康和社会支持。结论：基于ram的护理干预可有效改善PD患者的生理和心理结局、社会功能和生活质量，在促进以患者为中心的整体护理方面具有重要价值。临床试验号：不适用。
Effectiveness of the Roy adaptation model-based nursing intervention in improving physiological, psychological, and social outcomes in patients with Parkinson's disease.
Objective: This study aimed to evaluate the effectiveness of a comprehensive nursing intervention based on Roy's Adaptation Model (RAM) in improving quality of life, psychological adaptation, and social functioning in patients with Parkinson's disease (PD).
Methods: A total of 96 patients with idiopathic PD were randomly assigned to the RAM group or the usual care group. The RAM intervention included a 3-month program addressing physiological, psychological, role function, and interdependence adaptation needs. Outcomes were assessed at baseline, 1 month, 3 months, and 6 months using the Scale for Outcomes in Parkinson' s Disease - Autonomic Symptoms (SCOPA-AUT), Pittsburgh Sleep Quality Index (PSQI), Fatigue Severity Scale (FSS), Beck Depression Inventory-II (BDI-II), Beck Anxiety Inventory (BAI), General Self-Efficacy Scale (GSES), Parkinson' s Disease Social Functioning Scale (PDSFS), Multidimensional Scale of Perceived Social Support (MSPSS), and Parkinson' s Disease Questionnaire-39 (PDQ-39).
Results: The RAM group demonstrated significant improvements in autonomic function, sleep quality, and fatigue compared to the usual care group (SCOPA-AUT, PSQI, and FSS). Psychological adaptation improved with reduced depressive and anxiety symptoms (BDI-II and BAI) and increased self-efficacy (GSES). Role function and interdependence adaptation were significantly enhanced, as indicated by higher PDSFS and MSPSS scores. Quality of life, assessed using PDQ-39, showed significant and sustained improvements across all domains, including mobility, activities of daily living, emotional well-being, and social support.
Conclusion: The RAM-based care intervention effectively enhanced physiological and psychological outcomes, social functioning, and quality of life in PD patients, highlighting its value in promoting holistic, patient-centered nursing care.
期刊介绍：
BMC Neurology is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of neurological disorders, as well as related molecular genetics, pathophysiology, and epidemiology.
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