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帕金森病的生活质量和照料者负担。

Quality of Life and Caregivers' Burden of Parkinson's Disease.

机构信息

Department of Pharmacy Practice, School of Pharmacy, International Medical University, Kuala Lumpur, Malaysia.

出版信息

Neuroepidemiology. 2017;48(3-4):131-137. doi: 10.1159/000479031. Epub 2017 Jul 21.

Abstract

AIM

This study focused on the impact of the clinical features on the quality of life (QoL) of Parkinson's disease (PD) patients and of their caregivers.

METHODS

This study included PD patients along with their caregivers and was undertaken at the Malaysian Parkinson's Disease Association from June 2016 to November 2016. Clinical features of PD patients were assessed using the Movement Disorder Society revised Unified Parkinson Disease Rating Scale; the Hoehn and Yahr stage and the Schwab and England Activities of Daily Living Scale were used to assess the severity and the ability of PD patients respectively. QoL of PD patients was measured using the Parkinson's Disease Questionnaire-39 (PDQ-39). The revised version of the Zarit Burden Interview assessed caregiver burden.

RESULTS

At least one of the clinical features affected PD patients' QoL, and at least one of the QoL domains affected the caregivers' burden. Clinical features "saliva and drooling" and "dyskinesia" explained 29% of variance in QoL of PD patients. The QoL domains "stigma," along with "emotional well-being" explained 48.6% of variance in caregivers' burden.

CONCLUSIONS

The clinical features "saliva and drooling" and "dyskinesia" impacted the QoL of PD patients, and the QoL domains "stigma" and "emotional well-being" of PD patients impacted their caregivers' burden.

摘要

目的

本研究旨在探讨帕金森病(PD)患者及其照护者的临床特征对生活质量(QoL)的影响。

方法

本研究纳入了 2016 年 6 月至 2016 年 11 月期间在马来西亚帕金森病协会的 PD 患者及其照护者。使用运动障碍协会修订的统一帕金森病评定量表评估 PD 患者的临床特征;使用 Hoehn 和 Yahr 分期和 Schwab 和 England 日常生活活动量表评估 PD 患者的严重程度和能力。使用帕金森病问卷-39(PDQ-39)评估 PD 患者的 QoL。使用修订版的 Zarit 负担访谈评估照护者的负担。

结果

至少有一个临床特征影响 PD 患者的 QoL,至少有一个 QoL 领域影响照护者的负担。临床特征“流涎和口水”和“运动障碍”解释了 PD 患者 QoL 变异的 29%。PD 患者的 QoL 领域“耻辱感”和“情绪健康”解释了照护者负担变异的 48.6%。

结论

“流涎和口水”和“运动障碍”等临床特征影响 PD 患者的 QoL,而 PD 患者的 QoL 领域“耻辱感”和“情绪健康”则影响其照护者的负担。

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