负担对帕金森病患者照护者生活质量的影响

A. Pytel, M. Laskowska
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引用次数: 0

摘要

介绍。帕金森病是最常见的神经退行性疾病之一。这种情况本质上是进行性的。在欧洲,帕金森病估计主要影响60岁以上的人群。据推测,波兰目前约有8 - 10万人患有帕金森病。这种疾病主要影响男性。帕金森病患者照护者负担水平评估及生活质量评估材料和方法。该研究是在Wrocław的Koło Przyjaciół Ludzi z chorobedoparkinsona TWK(帕金森病患者之友TWK组)和Leszczyńskie Stowarzyszenie Osób z Chorobami阿尔茨海默病和帕金森病患者协会(Leszno阿尔茨海默病和帕金森病患者协会)对92名帕金森病患者及其92名护理人员进行的。本研究采用自行设计问卷的诊断调查方法,使用WHOQoL-BREF问卷、CBS照顾者负担量表和HADS焦虑抑郁量表等标准工具对照顾者进行调查。本研究还对帕金森病患者进行了问卷调查:社会人口学问卷、PDQ-39生活质量问卷、Hoehn-Yahr疾病分期量表和Beck抑郁量表bdi。对研究资料的分析表明:护理时间为1-5年的护理者在身体、环境和心理方面的生活质量明显优于护理时间为10年以上的护理者。笔者本人的研究表明,患者患病5年以上时,照顾者的整体负担明显高于患者患病2-5年,PD患者整体生活质量水平和抑郁症状严重程度越低,其照顾者的生活质量也越低。在总体负担量表上,92名调查参与者中有47人(51.09%)经历了中等水平的负担,24名受访者(26.09%)经历了高水平的负担。此外,疾病持续时间长导致护理人员负担加重。与PD患者护理人员的护理负担相关的困难代表了一个重要的临床,社会和经济问题。此外,它们还大大降低了照顾者的生活质量,常常剥夺了照顾患有帕金森病的亲人的快乐。(JNNN 2021; 10 (4): 144 - 152)
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The Effect of the Burden on the Quality of Life of Caregivers of People with Parkinson’s Disease
Introduction. Parkinson’s disease is one of the most common neurodegenerative diseases. This condition is progressive in nature. In Europe, Parkinson’s disease is estimated to affect mainly people over the age of 60. It is assumed that around 80–100,000 people in Poland currently suffer from Parkinson’s disease. The disease mainly affects men.Aim. Assessment of the level of burden on caregivers of people with Parkinson’s disease and evaluation of their quality of life.Material and Methods. The study was conducted in the Koło Przyjaciół Ludzi z Chorobą Parkinsona TWK (Friends of People with Parkinson’s Disease TWK Group) in Wrocław and the Leszczyńskie Stowarzyszenie Osób z Chorobami Alzheimera i Parkinsona (Leszno Association of People with Alzheimer’s and Parkinson’s Diseases) in Leszno on a group of 92 Parkinson’s disease patients and their 92 caregivers. The study was conducted using a diagnostic survey method with a self-designed questionnaire and the following standardised instruments for caregivers: the WHOQoL-BREF questionnaire, the CBS caregiver burden scale and the HADS anxiety and depression scale. The present study also used questionnaires addressed to Parkinson’s disease patients: a sociodemographic questionnaire, the PDQ-39 quality of life questionnaire, the Hoehn–Yahr disease stage scale and the Beck depression scale BDI.Results. Analysis of the research material showed that: the quality of life of caregivers in the physical, environmental and psychological domains was significantly better in those providing care for 1–5 years than in those looking after patients for more than 10 years. The author’s own research showed that the overall burden among caregivers was significantly higher when the patient had been ill for more than 5 years than when the patient had been ill for 2–5 years, and it was found that the lower the overall level of quality of life and severity of depressive symptoms among PD patients, the lower the quality of life of their caregivers. On the overall burden scale, 47 of the 92 survey participants (51.09%) experienced a medium level of burden and 24 respondents (26.09%) experienced a high level of burden. In addition, the long duration of the disease leads to a higher burden on caregivers.Conclusions. The difficulties associated with the burden of care for caregivers of people with PD represent a significant clinical, social and also economic problem. Moreover, they significantly reduce the quality of life of caregivers, often taking away the joy of caring for loved ones with Parkinson’s disease. (JNNN 2021;10(4):144–152)
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