Effect of extended care on cognitive function and quality of life in patients with Parkinson's disease

Abstract

Objective To explore the effect of extended care on cognitive function and quality of life in patients with Parkinson's disease. Methods A total of 36 patients with Parkinson's disease who received treatment from October 2015 to April 2016 were treated as the control group, and the routine nursing intervention was given and the health guidance was given after discharge.A total of 35 patients with Parkinson's disease who received treatment from May to November 2016 were selected as the observation group.Cognitive function changes were assessed using the Montreal cognitive assessment scale (MoCA). The survival quality of patients was evaluated by Parkinson's disease survival quality questionnaire (PDQ-39). The Hamilton Depression Rating Scale (HAMD) was used to evaluate the changes of depression. Results After intervention, the observation group's attention, visual space and execution ability, language ability, orientation force, delayed recall naming ability and MoCA total score were significantly higher, and significantly higher than the control group.The differences were statistically significant (P<0.05). After treatment, the language ability, delayed recall, naming ability and MoCA score of the control group increased significantly (P<0.05). After the treatment, the two groups were significantly reduced in their daily life, cognitive ability, motor ability, interpersonal communication, physical discomfort, emotion, shame and total score (P<0.05). After treatment, the observation group was significantly lower than the control group in daily life, cognitive ability, exercise ability, interpersonal communication, physical discomfort, emotion, shame, and total score.The differences were statistically significant (P<0.05). After treatment, the HAMD scores of the two groups were significantly lower (P<0.05). After treatment, the HAMD score of the observation group was significantly lower than that of the control group.The difference was statistically significant (P<0.05). Conclusions Extended care can significantly improve the cognitive function and improve the quality of life in patients with Parkinson's disease. Key words: Extended care; Parkinson disease; Cognitive function; Quality of life