轻中度帕金森病患者自我管理现状及影响因素分析
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Self-management level of patients with mild to moderate Parkinson′s disease: the influencing factors
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    目的 了解轻中度帕金森病患者的自我管理水平及影响因素,为实施提高患者的自我管理水平对策提供参考。 方法 采用帕金森病自我管理问卷、日常生活能力问卷、慢性病自我效能量表、社会支持评定量表、非运动症状量表调查207例轻中度帕金森病患者。 结果 轻中度帕金森病患者自我管理得分56.52±16.66;患者自我管理与日常生活能力、社会支持、自我效能呈正相关,与非运动症状呈负相关(均P<0.01)。自我效能、日常生活能力、非运动症状、社会支持是帕金森病患者自我管理的主要影响因素(均P<0.01)。 结论 轻中度帕金森病患者自我管理水平亟需提升,其影响因素较多。应建立系统化、个体化的自我管理方案,以提高患者的生活质量。

    Abstract:

    Objective To investigate self-management level of patients with mild to moderate Parkinson′s disease, to analyze the influencing factors, and to provide reference for formulation of self-management enhancing strategies. Methods The Parkinson′s Disease Self-Management Questionnaire, Barthel Index, Chronic Disease Self-Management Study Measures, Social Support Scale, and the Non-Motor Symptom Scale were used to survey 207 patients with mild to moderate Parkinson′s disease. Results The total score of self-management for patients with mild to moderate Parkinson′s disease was (56.52±16.66) points. Patients′ self-management level was positively correlated with activity of daily living level, social support, and self-efficacy, while negatively correlated with non-motor symptoms. Multiple linear regression analysis showed that self-efficacy, activity of daily living, non-motor symptoms, and social support contributed to self-management of patients with Parkinson′s disease (P<0.01 for all). Conclusion The self-management level of patients with mild to moderate Parkinson′s disease needs to be improved, and is influenced by multiple factors. It is recommended to establish a systematic, and individualized management plan for patients with Parkinson′s disease, in bid to improve the quality of life of patients.

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陈文秀,王含,薄琳,武曌,李峥.轻中度帕金森病患者自我管理现状及影响因素分析[J].护理学杂志,2021,36(15):23-26

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  • 收稿日期:2021-03-09
  • 最后修改日期:2021-04-23
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  • 在线发布日期: 2022-12-12