Effect Of Multi-disciplinary TCM Health Management Model On Quality Of Life And Psychology Of Patients With Parkinson’s Disease At Home

Purpose:1.confirm the intervening factors affecting the quality of life and psychological status of PD patients at homes;2.design and implement a multidisciplinary TCM health management program in line with the actual situations of PD patients at home according to the above intervening factors;3.conduct a comprehensive evaluation of the effect of multidisciplinary TCM health management program,evaluation indicators include the progress of the patient’s course of disease,quality of life,anxiety and depression score,medication compliance,etc.;4.put forward problems and directions for the further development of multidisciplinary TCM health management model.Method:Nanjing Hospital of Traditional Chinese Medicine was used as the study settings:1.on the basis of literature survey,the intervening factors affecting the physical and mental health of home PD patients were summarized,and a multidisciplinary TCM health management program was designed;2.the home PD patients who participated in the study were randomly and equally divided into the test and control group,and the test group was given multidisciplinary TCM health management,while the patients in the control group were treated with the normal diagnosis and treatment procedures;3.after 6 months of implementating the multidisciplinary TCM health management model,the changes before and after intervention in the test and control groups were evaluated,including the disease progression,quality of life,psychological status,and medication compliance,and the effect of multidisciplinary TCM health management model on the physical and mental health of home PD patients was also analyzed;Results:1.MDS-UPDRS score,the MDS-UPDRS total score of the treatment group was lower than before,and(P<0.01),with significant statistically differences.While,there was no statistical difference in MDS-UPDRS score before and after treatment in the control group(P>0.05).No obvious deterioration of diseases in patients were shown in a short period of time.With the analysis of all dimensions,the socres of all MDS-UPDRSI,MDS-UPDRSII,and MDS-UPDRSIII were reduced,and the statistical differences were significant compared with the pretreatment baseline(P<0.01).The total score of MDS-UPDRS in the treatment group was not significantly improved(P>0.05)compared with control group,but the total score in the treatment group was lower than that in the control group.2.For HAMA and HAMD-24 scores,the HAMA score of the treatment group decreased compared with that before the intervention,with a significant statistically difference(P<0.05).The HAMD-24 score has a decreased tendency compared with that before intervention,but there was no statistical difference(P>0.05)in the same process.The accumulated scores of the two groups showed that the scores of the treatment group before and after intervention were still greater than those of the control group with no statistical difference(P>0.05).3.Medication compliance:The medication compliance of PD patients at home in the treatment group was significantly improved(P<0.01),and the statistical difference was significant.Compared with the control group,the difference of medication compliance score increased,and the difference was not statistically significant(P>0.05).4.PDQ-8:Before and after treatment,the difference of PDQ-8 in the intervention control group was not statistically significant(P>0.05),but the PDQ-8 score in the intervention group decreased compared with that before treatment,and was lower than that in the control group.5.According to the correlation analysis of each observation index,it was found that MDS-UPDRSI was positively correlated with HAMA and HAMD-24,and MDS-UPDRSIV was positively correlated with HAMD-24,whatsmore,MDS-UPDRS total score was positively correlated with HAMD-24,and PDQ-8 was positively correlated with HAMA and HAMD-24,all P<0.05,with statistically significant correlation.Conclusion:Multidisciplinary TCM health management model can effectively improve medication compliance,delay disease progression,relief anxiety and depression of PD patients at home and improve quality of life to a certain extent.