本文選題：帕金森 + 生命質(zhì)量��； 參考：《山西醫(yī)科大學》2015年碩士論文

【摘要】：以山西省某三甲醫(yī)院161例帕金森患者為例,通過研究調(diào)查某三甲醫(yī)院帕金森門診患者的生命質(zhì)量狀況以及所存在的問題;探究阻礙帕金森患者生命質(zhì)量的各方面因素,為提高帕金森患者的生命質(zhì)量提供參考依據(jù)。采用問卷調(diào)查法,調(diào)查2013年4月至2014年12月來山西醫(yī)科大學第二臨床醫(yī)院神經(jīng)內(nèi)科門診就診的帕金森病患者作為研究的對象。其中選擇了男性帕金森患者91例,女性帕金森患者70例。應(yīng)用帕金森生命質(zhì)量評價量表PDQ-39量表中文版對帕金森患者進行生命質(zhì)量評價。應(yīng)用SPSS22.0軟件對數(shù)據(jù)進行統(tǒng)計分析,結(jié)果研究如下:1.PDQ-39量表中文版應(yīng)用于帕金森患者生命質(zhì)量評價的信度及效度較好,量表8個維度有6個維度的克朗巴赫系數(shù)均大于0.8,總量表中克朗巴赫α系數(shù)為0.960,各維度與總量表之間的相關(guān)系數(shù)最小為0.572,最大為0.867,說明各維度與總量表的相關(guān)性較高,說明整體效度好。2.(1)對照組人群腰圍值高于病例組帕金森患者腰圍值;病例組帕金森患者生命質(zhì)量各個維度總分女性分值比男性要高;年齡越大的帕金森患者PDQ-39量表分值越高,生命質(zhì)量越低,大于65歲的患者運動維度分值最高,運動生活質(zhì)量最低;(2)病程越長的患者各維度分值越高,生命質(zhì)量越低,病程大于等于5年的患者在日常生活活動維度的分值最高;BMI值越小的患者,各維度分值越低;(3)PDQ-39量表的8個維度與不同病情分級均具有相關(guān)性。3.多重線性回歸結(jié)果表明:影響帕金森病人的生命質(zhì)量的影響因素有病情分級、病程、腰圍、年齡;影響患者運動維度的影響因素有病情分級、病程越長、腰圍越小的患者;影響帕金森病人日常生活活動維度的主要影響因素有病情分級、病程、腰圍;病情分級越高,總分值也就會高,說明生命質(zhì)量就低;影響帕金森病人精神健康維度的主要影響因素有病情分級、、年齡、病程、腰圍、BMI;影響患者恥辱維度的主要影響因素為病程、年齡、腰圍;影響患者社會支持維度的影響因素有病程、年齡;影響患者認知維度的主要影響因素為病情分級、病程、年齡、BMI;影響帕金森病人社交維度的主要影響因素有病情分級、病程、年齡、腰圍、BMI;影響患者身體不適維度的主要影響因素為病程、腰圍。PDQ-39量表的中文版應(yīng)用于帕金森患者生命質(zhì)量評價有比較不錯的信度與效度;被調(diào)查的帕金森患者生命質(zhì)量評分高于正常組評分;影響帕金森患者生命質(zhì)量的主要因素為,病情分級、病程、腰圍、年齡,腰圍越小的患者量表總分值越高;病情分級越高的患者量表分值越高,其生活質(zhì)量越不好;病程越長的患者,量表分值越高,其生活質(zhì)量越低。帕金森患者由于其特殊的臨床癥狀,存在生活不能自理,交流障礙等問題,在生理和心理上承受著巨大的壓力,應(yīng)從家庭、醫(yī)務(wù)人員、社會組織等多方面加強對帕金森患者的支持。
[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.
【學位授予單位】：山西醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2015
【分類號】：R742.5

【參考文獻】

相關(guān)期刊論文 前4條

1 曹繼安;;城鎮(zhèn)居民基本醫(yī)療保險制度建設(shè)的問題和對策[J];西部財會;2008年05期

2 方積乾,萬崇華,郝元濤;與健康有關(guān)的生存質(zhì)量的研究概況[J];中國康復(fù)醫(yī)學雜志;2000年01期

3 王躍生;;當代中國家庭結(jié)構(gòu)變動分析[J];中國社會科學;2006年01期

4 陳忠倫;王欣;吳孝蘋;段勁峰;蘇牟蕭;張蕓;;帕金森病非運動癥狀及患者生活質(zhì)量影響因素的研究[J];實用醫(yī)院臨床雜志;2013年02期

，

本文編號：1806733