Lin Hung-Yu, Lin Yi-Tung, Chiou Chou-Ping, Pan Hsueh-Hsing
School of Medicine, College of Medicine, I-Shou University, Kaohsiung, Taiwan.
Division of Urology, Department of Surgery, E-Da Cancer Hospital, I-Shou University, Kaohsiung, Taiwan.
Front Psychiatry. 2024 Jul 18;15:1309989. doi: 10.3389/fpsyt.2024.1309989. eCollection 2024.
Patients diagnosed with Parkinson's disease undergo alterations in physical, psychological, and social functionality, with the psychological domain being particularly predisposed to inducing fatigue and depressive symptoms. Understanding the alterations occurring within a patient's body and mind and how these influence their overall quality of life is crucial.
This study sought to explore the predictive capacity of fatigue severity, the presence of depressive symptoms, and diverse demographic factors on the quality of life among individuals with Parkinson's disease.
A cross-sectional correlational study was conducted at a teaching hospital in southern Taiwan. The research utilized a questionnaire survey to interview 133 study participants, focusing on the Quality of Life Scale, Depression Scale, Fatigue Severity Scale, Social Support Scale, and demographic attributes.
A total of 130 valid questionnaires were obtained. The results showed that Hoehn and Yahr stage, fatigue severity, and depression status could predict quality of life, explaining 51.1% of the total variance. These findings suggest that patients at advanced Hoehn and Yahr stages, experiencing more severe fatigue, and exhibiting higher levels of depression, tended to report a lower overall quality of life. Our findings suggest that, in addition to Hoehn and Yahr stage, the severity of fatigue and levels of depression significantly impact the quality of life in individuals with Parkinson's disease.
Nurses need to understand the "stressful life events" and the changes in appearance and physical function that patients with Parkinson's disease face due to chronic degenerative diseases. Hence, apart from addressing patients' physiological needs, healthcare professionals should also offer appropriate care for psychological issues, such as depressive symptoms. Encouraging patients to participate in "counseling groups" can further bolster their social support networks, enhancing their overall well-being and addressing comorbidities associated with chronic degenerative diseases.
被诊断患有帕金森病的患者在身体、心理和社会功能方面会发生改变，其中心理领域特别容易引发疲劳和抑郁症状。了解患者身心所发生的变化以及这些变化如何影响他们的整体生活质量至关重要。
本研究旨在探讨疲劳严重程度、抑郁症状的存在以及不同人口统计学因素对帕金森病患者生活质量的预测能力。
在台湾南部的一家教学医院进行了一项横断面相关性研究。该研究采用问卷调查的方式对133名研究参与者进行访谈，重点关注生活质量量表、抑郁量表、疲劳严重程度量表、社会支持量表和人口统计学特征。
共获得130份有效问卷。结果表明，Hoehn和Yahr分期、疲劳严重程度和抑郁状态可以预测生活质量，解释了总方差的51.1%。这些发现表明，处于较高Hoehn和Yahr分期、经历更严重疲劳且抑郁水平较高的患者往往报告较低的整体生活质量。我们的研究结果表明，除了Hoehn和Yahr分期外，疲劳的严重程度和抑郁水平对帕金森病患者的生活质量有显著影响。
护士需要了解帕金森病患者因慢性退行性疾病所面临的“压力性生活事件”以及外貌和身体功能的变化。因此，除了满足患者的生理需求外，医护人员还应针对心理问题，如抑郁症状，提供适当的护理。鼓励患者参加“咨询小组”可以进一步加强他们的社会支持网络，提高他们的整体幸福感，并解决与慢性退行性疾病相关的合并症。
