基于作业疗法的睡眠干预对帕金森病患者睡眠质量的影响及其对生活质量的影响

Rajul Daftary, Dejul R. Dedhiya
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摘要

帕金森病是一种退行性疾病,既有运动症状,也有非运动症状。大多数情况下,医护人员在传统的治疗过程中忽略了非运动症状。但这些症状会加重患者的痛苦。睡眠障碍是帕金森病最常见的非运动症状之一。这些症状会影响患者的日常生活。因此,在改善睡眠质量和控制其他症状方面,职业治疗管理至关重要。本研究旨在评估基于职业疗法的睡眠干预对改善帕金森病患者睡眠质量的有效性。此外,本研究还旨在评估其对生活质量的影响。本研究包括 37 名患者。所有患者都接受了为期四周的干预计划,该计划是根据患者的评估结果量身定制的。结果显示,匹兹堡睡眠质量指数和世界卫生组织生活质量BREF量表在统计学上有明显的结果。这项研究强调了定制睡眠计划的必要性,并证明了基于职业疗法的睡眠干预的有效性。关键词:睡眠、睡眠质量、职业疗法、帕金森病、神经康复、生活质量。
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Effectiveness of Occupational Therapy Based Sleep Intervention on Sleep Quality and Its Impact on Quality of Life in Patients with Parkinson’s Disease
Parkinson’s disease is a degenerative disease which has motor as well as non-motor symptoms. Most of the times non-motor symptoms are neglected in traditional management by the healthcare professionals. But these symptoms add up to the suffering of the person. Sleep disturbances are one of the commonest non-motor symptoms seen in Parkinson’s disease. These symptoms affect daily life of an individual. Thus, Occupational therapy management is essential in improving sleep quality along with management of other symptoms. The aim of this study is to evaluate the effectiveness of occupational therapy based sleep intervention in improving sleep quality in Parkinson’s disease. Also, this study aimed at evaluating its impact on quality of life. The study included 37 patients. The intervention program of four weeks was provided to all which was tailored made as per patients’ evaluation. The results showed statistically significant result in Pittsburgh sleep quality index and WHO Quality of Life BREF scale. This study highlighted the need for customized sleep program and demonstrated the effectiveness of occupational therapy based sleep intervention. Keywords: sleep, sleep quality, occupational therapy, Parkinson’s disease, neurorehabilitation, quality of life.
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