帕金森病患者生活质量相关影响因素分析.docVIP

帕金森病患者生活质量相关影响因素分析 　　[摘要] 目的：探讨影响帕金森病（PD）患者生活质量的因素。方法：采用统一的标准问卷调查本院2005年1月～2009年12月60例帕金森病患者和60例健康的体检者生存质量、睡眠质量、抑郁、焦虑状况和PD病情评分，比较分析生存质量、PD病情与睡眠质量、抑郁程度、焦虑状况的相关性。结果：两组被调查人员生存质量与睡眠质量无显著性相关（P0.05）,但与抑郁和焦虑程度均有显著性相关（P0.05）；但PD全程与抑郁和焦虑情绪差异有统计学意义（P0.05，P0.01）。结论：PD患者不良情绪既是影响其生存质量的原因，也是病情加重或反复的结果，临床上应在控制患者病情的基础上，积极开展心理疏导和健康教育，指导患者自我康复，适度降低其心理预期，以增强PD患者生存满意度。 　　[关键词] 帕金森病；生活质量；影响因素；分析 　　[中图分类号] R742.5 [文献标识码] C[文章编号] 1674-4721（2011）04（a）-133-02 　　 　　Quality of life in patients with parkinson disease related factors analysis 　　CHEN Xuming 　　The Third People′s Hospital of Huizhou City, Guangdong Province, Huizhou 516002, China 　　[Abstract] Objective: To explore the quality of life in patients with parkinson (PD) factors. Methods: The hospital uniform standard questionnaire in January 2005 to December 2009, 60 patients with parkinson′s disease and 60 healthy volunteers were quality of life, sleep quality, depression, anxiety, illness status and PD score comparative analysis of survival quality, PD disease and sleep quality, depression, anxiety related conditions. Results: There were investigators no quality of life and sleep quality were significantly related (P0.05), but depression and anxiety were significantly associated (P0.05); however, PD with depression and anxiety throughout the difference was statistically significant (P0.05, P0.01). Conclusion: PD patients with negative emotions affect their quality of life is both a cause and a result of repeated exacerbations or clinical condition of patients in the control should be based on the active psychological counseling and health education, instruction, self-rehabilitation patients, moderately reduce the psychological expected to enhance the survival of PD patients satisfaction. 　　[Key words] Parkinson′s disease; Quality of life; Factors; Analysis 　　 　　帕金森病（parkinson′s disease，PD）是一种运动障碍慢性疾病, 临床上以静止性震颤、肌张力增高、运动迟缓和姿势平衡障碍为主要特征，目前治疗尚无根本性治疗方法，改善和提高生存质量，减轻患者临床症状是其治疗的首要目的。笔者对2005年1月～2009年12月60例帕金森病患者的病历资料进行随访分析，旨在探讨影响帕