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  • 學位論文

巴金森氏症病人生活品質及相關因素之探討

Quality of Life and Associated Factors in Patients with Parkinsonism

指導教授 : 丘周萍

摘要


本研究主要目的為探討巴金森氏症病人的侯葉分級、疾病合併症數目、社會支持度、疲憊感、憂鬱、與生活品質關係,最後探測影響巴金森氏症病人生活品質的重要因素。 共收案130位巴金森氏病人,訪談老人憂鬱量表、疲憊量表、社會支持及基本人口學資料 (包括:性別、年齡、婚姻、教育、宗教信仰、居住型態、工作狀況、合併症數目、經濟狀況)。資料應用SPSS/windows 18.0分析,以獨立樣本t檢定、單因子變異數分析、皮爾森積差相關及線性複迴歸統計分析。 本研究結果顯示:社會經濟狀況不同對疲憊有顯著差異,經濟不足高於尚可;疾病合併數目越多,疲憊程度越高;疲憊對憂鬱程度越高則越感憂鬱。婚姻狀況不同對憂鬱有顯著差異,同居高於已婚;疾病合併症數目越多,憂鬱程度越高。社會支持越低,病人憂鬱越嚴重。工作狀態不同對巴金森氏症生活品質有顯著差異,退休者低於無工作,而無工作者亦低於有工作者;年齡越大生活品質越差;侯葉等級越高生活品質越差;疾病合併症數目越多生活品質越差;憂鬱程度越高,生活品質越差;疲憊嚴重程度越高,生活品質越差;社會支持越高生活品質越好。迴歸結果顯示,本研究影響健康相關生活品質之最重要因素為「侯葉分級等級」、「憂鬱狀況」與「疲憊嚴重程度」。

並列摘要


The main purpose of this study was to explore the relationship between Hoehn & Yahr scale, number of comorbidity, social support, fatigue, depression, and quality of life (QoL) in patients with Parkinson disease. Also, we analyzed determinants of QoL in Parkinson's disease population. Methods: We enrolled 130 patients with Parkinson disease. We interviewed all those patients, and completed Geriatric Depression Scale and fatigue scale. The degree of social support, and basic demographic information (including gender, age, marrital status, education, religion, residence patterns, working status, comorbidities and the economic conditions) were also collected. Using SPSS / windows 18.0 version, we applied statistical analysis with independent T test, ANOVA analysis, Pearson correlation and multiple linear regression. Results: The degree of fatigue was influenced by socio-economic status and comorbidities. Lower socio-economic status and increased number of comorbidities have negative impact on degree of fatigue. Patients with higher fatigue became more depression. There are obvious differences between marital status and depression. Patients in cohabiting status had more depression than in married. Patients with more number of co-morbidities and lower social support came higher degree of depression. Working condition is also an important factor for quality of life in Parkinson's disease patients. The quality of life is worse in retirees than the non-working people, and then the working people. Old age, high Hoehn & Yahr stage, more number of co-morbidities, more depression, fatigue, and low social support are associated with lower quality of life. According the regression analysis results, the most important factors for better quality of life in this study are Hoehn & Yahr stage , depression, and the severity of fatigue.

並列關鍵字

quality of life depression fatigue and social suppor

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