帕金森患者生命质量及其影响因素研究

发布时间：2018-04-26 16:11

本文选题：帕金森 + 生命质量　；参考：《山西医科大学》2015年硕士论文

【摘要】：以山西省某三甲医院161例帕金森患者为例,通过研究调查某三甲医院帕金森门诊患者的生命质量状况以及所存在的问题;探究阻碍帕金森患者生命质量的各方面因素,为提高帕金森患者的生命质量提供参考依据。采用问卷调查法,调查2013年4月至2014年12月来山西医科大学第二临床医院神经内科门诊就诊的帕金森病患者作为研究的对象。其中选择了男性帕金森患者91例,女性帕金森患者70例。应用帕金森生命质量评价量表PDQ-39量表中文版对帕金森患者进行生命质量评价。应用SPSS22.0软件对数据进行统计分析,结果研究如下:1.PDQ-39量表中文版应用于帕金森患者生命质量评价的信度及效度较好,量表8个维度有6个维度的克朗巴赫系数均大于0.8,总量表中克朗巴赫α系数为0.960,各维度与总量表之间的相关系数最小为0.572,最大为0.867,说明各维度与总量表的相关性较高,说明整体效度好。2.(1)对照组人群腰围值高于病例组帕金森患者腰围值;病例组帕金森患者生命质量各个维度总分女性分值比男性要高;年龄越大的帕金森患者PDQ-39量表分值越高,生命质量越低,大于65岁的患者运动维度分值最高,运动生活质量最低;(2)病程越长的患者各维度分值越高,生命质量越低,病程大于等于5年的患者在日常生活活动维度的分值最高;BMI值越小的患者,各维度分值越低;(3)PDQ-39量表的8个维度与不同病情分级均具有相关性。3.多重线性回归结果表明:影响帕金森病人的生命质量的影响因素有病情分级、病程、腰围、年龄;影响患者运动维度的影响因素有病情分级、病程越长、腰围越小的患者;影响帕金森病人日常生活活动维度的主要影响因素有病情分级、病程、腰围;病情分级越高,总分值也就会高,说明生命质量就低;影响帕金森病人精神健康维度的主要影响因素有病情分级、、年龄、病程、腰围、BMI;影响患者耻辱维度的主要影响因素为病程、年龄、腰围;影响患者社会支持维度的影响因素有病程、年龄;影响患者认知维度的主要影响因素为病情分级、病程、年龄、BMI;影响帕金森病人社交维度的主要影响因素有病情分级、病程、年龄、腰围、BMI;影响患者身体不适维度的主要影响因素为病程、腰围。PDQ-39量表的中文版应用于帕金森患者生命质量评价有比较不错的信度与效度;被调查的帕金森患者生命质量评分高于正常组评分;影响帕金森患者生命质量的主要因素为,病情分级、病程、腰围、年龄,腰围越小的患者量表总分值越高;病情分级越高的患者量表分值越高,其生活质量越不好;病程越长的患者,量表分值越高,其生活质量越低。帕金森患者由于其特殊的临床症状,存在生活不能自理,交流障碍等问题,在生理和心理上承受着巨大的压力,应从家庭、医务人员、社会组织等多方面加强对帕金森患者的支持。
[Abstract]:Taking 161 cases of Parkinson's disease in a third class hospital in Shanxi Province as an example, the quality of life of patients in Parkinson's outpatient clinic in a third class hospital was investigated and the existing problems were investigated, and the factors hindering the quality of life of Parkinson's patients were explored. To improve the quality of life of patients with Parkinson disease to provide a reference basis. From April 2013 to December 2014, Parkinson's disease (PD) patients in the Department of Neurology, the second Clinical Hospital of Shanxi Medical University, were investigated by questionnaire. Among them 91 cases of male Parkinson's disease and 70 cases of female Parkinson's disease were selected. The Chinese version of Parkinson's quality of Life scale (PDQ-39) was used to evaluate the quality of life of Parkinson's patients. SPSS22.0 software was used to analyze the data. The results were as follows: 1. The reliability and validity of the Chinese version of PDQ-39 scale applied to the quality of life evaluation of Parkinson's patients were good. The Cronbach coefficients of 6 dimensions of the eight dimensions of the scale were all greater than 0.8, and the correlativity coefficient between each dimension and the total scale was 0.9600.96, the correlation coefficient between each dimension and the total scale was the smallest 0.572and the maximum was 0.867, which indicated that the correlation between each dimension and the total table was high. It shows that the overall validity is good. 2. 1) the waist circumference of the control group is higher than that of the Parkinson disease, the total score of each dimension of the patients' quality of life in the case group is higher than that of the male, and the PDQ-39 scale score of the older patients with Parkinson's disease is higher than that of the male. The lower the quality of life, the higher the score of exercise dimension, the higher the score of each dimension, the lower the quality of life, the longer the course of disease, the higher the score of exercise dimension. Patients whose course of disease was more than 5 years had the highest score in ADL dimension and the lower BMI value, the lower the score of each dimension was, the 8 dimensions of PDQ-39 scale were correlated with different disease grades. The results of multiple linear regression showed that the factors influencing the quality of life of Parkinson's patients were disease grade, course of disease, waist circumference and age, and the influencing factors of exercise dimension were disease grade, the longer the course of disease, the smaller the waist circumference. The main factors influencing the dimension of daily life activities of Parkinson's patients were disease grade, course of disease, waist circumference, and the higher the disease grade, the higher the total score, which indicated that the quality of life was low. The main factors influencing the mental health of Parkinson's patients were disease grade, age, course of disease, waist circumference, and the main influencing factors were course of disease, age and waist circumference. The influencing factors of social support dimension are course of disease, age; the main influencing factors of cognitive dimension of patients are disease grade, course of disease, age and BMI.The main influencing factors of social dimension of Parkinson's patients are disease grade, course of disease, Age, waist circumference and BMI.The main influencing factors were the course of disease. The Chinese version of waist circumference and PDQ-39 scale had good reliability and validity in evaluating the quality of life of patients with Parkinson's disease. The quality of life score of Parkinson's patients was higher than that of normal group, the main factors affecting the quality of life of Parkinson's patients were: the disease grade, course of disease, waist circumference, age, the lower the waist circumference, the higher the total score of the scale. The higher the disease grade, the higher the score of the scale, the worse the quality of life; the longer the course of disease, the higher the score of the scale, the lower the quality of life. Because of its special clinical symptoms, Parkinson's patients have problems such as being unable to take care of themselves and having difficulty in communicating. They are under great pressure both physically and psychologically, so they should start from their families and medical staff. Social organization and other aspects to strengthen the support for Parkinson's patients.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R742.5

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