Objective To analyze the effect of quality control circles (QCC) interventions on improving depres-sion and daily living in patients with Parkinson's disease combined with depression. Methods A total of 68 cases of Parkinson disease combined with depression patient, who admitted to Department of Nerve Comprehensive of our hospi-tal from December 2012 to January 2015, were selected and divided into the observation group and the control group ac-cording to random number table method, with 34 cases in each group. The control group patients received routine clini-cal intervention, the observation group patients received QCC intervention. The two group patients' depression, daily abilities and life quality were assessed respectively by Hamilton Depression Scale (HAMD) and Anxiety and Depression Scale, Barthel Index and activities of daily living (ADL) score, Quality of Life Scale. Results After QCC intervention, HAMD score in the observation group was (10.28±1.45), which was lower than (19.64±2.53) in the control group. How-ever, anxiety and Depression Scale normal rate, possible rate, Barthel index full completion rate, basic completion rate, and ADL score in the observation group were 52.94%, 35.29%, 55.88%, 32.35%, (88.23±9.02), respectively, which were significantly higher than 35.29%, 23.53%, 32.35%, 20.59%and (61.84±7.39) in the control group (P<0.05). Visual abili-ty score, attention score, memory score, language skill score, execution score, abstract thinking score, orientation score in the observation group were (3.72±0.45), (5.18±0.63), (2.63±0.34), (3.02±0.42), (2.47±0.31), (1.87±0.23), (5.83±0.61), respectively, which were significantly higher than (2.48 ± 0.32), (4.37 ± 0.49), (1.82 ± 0.23), (2.14 ± 0.28), (1.63 ± 0.27), (1.12 ± 0.19), (4.52 ± 0.49) respectively in the control group (P<0.05). Conclusion QCC intervention for patients with Parkinson's disease combined with depression can help ease the negative emotions and enhance the daily living ability, with positive clinical significance.%目的：探讨品管圈活动干预改善帕金森病合并抑郁患者抑郁和日常生活能力的临床效果。方法选取2014年6月至2016年1月期间在我院神经综合科接受治疗的帕金森症合并抑郁患者68例作为研究对象，按照随机数表法分为观察组及对照组各34例。对照组患者接受临床常规干预，观察组患者接受品管圈活动干预，采用汉密尔顿抑郁量表(HAMD)及焦虑抑郁量表评价两组患者的抑郁情绪，采用Barthel指数及日常生活活动能力(ADL)评分判断患者的日常生活能力，采用生活质量评定量表评价生活质量。结果观察组患者经品管圈活动干预后， HAMD评分值为(10.28±1.45)分，低于对照组的(19.64±2.53)分，焦虑抑郁量表中的正常比例为52.94%，可能抑郁比例为35.29%，Barthel指数中的完全完成率为55.88%，基本完成率为32.35%，ADL评分值为(88.23±9.02)分，均分别高于对照组的35.29%、23.53%、32.35%、20.59%和(61.84±7.39)分，差异均有统计学意义(P<0.05)；生活质量评分中，视觉能力、注意力、记忆力、语言表达能力、执行力、抽象思维和定向能力均高于对照组，差异均有统计学意义(P<0.05)。结论帕金森病伴抑郁患者接受品管圈活动干预，有助于患者负面情绪的改善及日常活动能力的提升，具有积极的临床意义。
展开▼
