[1]纪 凡 李 萌 顾 锐 张 燕.帕金森病病人DBS后愉悦性活动的影响因素分析[J].中国临床神经外科杂志,2020,(05):289-292.[doi:10.13798/j.issn.1009-153X.2020.05.011]
 JI Fan,LI Meng,GU Rui,et al.Analysis of influencing factors of pleasant events in patients with Parkinson's disease after deep brain stimulation[J].,2020,(05):289-292.[doi:10.13798/j.issn.1009-153X.2020.05.011]
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帕金森病病人DBS后愉悦性活动的影响因素分析()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2020年05期
页码:
289-292
栏目:
论著
出版日期:
2020-05-25

文章信息/Info

Title:
Analysis of influencing factors of pleasant events in patients with Parkinson's disease after deep brain stimulation
文章编号:
1009-153X(2020)05-0289-04
作者:
纪 凡 李 萌 顾 锐 张 燕
100053 北京,首都医科大学宣武医院北京功能神经外科研究所(纪 凡、李 萌、顾 锐、张 燕)
Author(s):
JI Fan LI Meng GU Rui ZHANG Yan.
Department of Functional Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing Institute of Functional Neurosurgery, Beijing 100053, China
关键词:
帕金森病脑深部电极刺激术愉悦性活动影响因素
Keywords:
Parkinson's disease Deep brain stimulation Pleasant events Influencing factors
分类号:
R 742.5; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2020.05.011
文献标志码:
A
摘要:
目的 探讨帕金森病(PD)病人脑深部电刺激术(DBS)后愉悦性活动的影响因素。方法 回顾性分析2018年9月至2019年8月DBS后门诊随访的163例PD的病例资料。DBS后3~6个月门诊随访时,使用愉悦性活动问卷、自尊量表和家庭关怀度指数问卷进行问卷调查,当场发放并回收。结果 PD病人DBS后愉悦性活动参与得分为(17.41±7.61)分。单因素分析显示,年龄、婚姻状况、职业、教育程度、病程、并发症和H-Y分期与PD病人DBS后愉悦性活动得分有关(P<0.05);进一步行多元线性逐步回归分析结果显示,自尊、年龄、病程和家庭关怀度指数是愉悦性活动的主要影响因素。PD病人DBS后愉悦性活动得分与自尊呈负相关(r=-0.492,P<0.001),与家庭关怀度呈正相关(r=0.467,P<0.001)。结论 PD病人DBS后愉悦性活动处于中度水平,医护人员应该重视其影响因素,鼓励病人多参与愉悦性活动,提高病人生活质量
Abstract:
Objective To investigate the influencing factors of pleasant events in the patients with Parkinson's disease (PD) after deep brain stimulation (DBS). Methods The clinical data of 163 patients with PD who were treated with DBS from September 2019 to August 2019 were analyzed retrospectively. The questionnaires including self-designed general information questionnaire, Pleasant Events Schedule, Self-Esteem Scale and Family Care Index Questionnaire were performed in all the patients during the follow-up 3 to 6 months after the operation. Results The total score of pleasant events in thses patients after DBS was (17.41±7.61). Univariate analysis showed that age, marital status, occupation, degree of education, course of illness, complications and H-Y stage were influencing factors of pleasant events. Multivariate linear regression analysis showed that self-esteem, age, course of illness, and index of family care were the main factors influencing pleasant events. Pleasant events were negatively correlated with self-esteem and positively correlated with family care. Conclusion The overall level of pleasant events in the patients with PD after DBS is at a middle level. Medical staff should pay attention to the influencing factors of pleasant events, encourage the patients to participate more in pleasant activities in order to improve the life quality of the patients

参考文献/References:

[1] 刘疏影,陈 彪. 帕金森病流行现状[J]. 中国现代神经疾 病杂志,2016,16(2):98-101.
[2] Engels G, Douw L, Kerst Y, et al. Non-motor symptoms in Parkinson's disease: an explorative network study [J]. Parkinsonism Relat Disord, 2019, 66(9): 237-240.
[3] Santos-García D, de la Fuente-Fernández R. Impact of non-motor symptoms on health-related and perceived quality of life in Parkinson's disease [J]. J Neurol Sci, 2013, 332(1): 136-140.
[4] Aum DJ, Tierney TS. Deep brain stimulation: foundations and future trends [J]. Front Biosci (Landmark Ed), 2018, 23: 162-182.
[5] 李 靖. 帕金森脑深部电极刺激术后病人自我效能与步 态康复及生活质量的相关性研究[J]. 中华现代护理杂 志,2019,25(11):1401-1404.
[6] 王志稳,李小卫,郝 薇,等. 痴呆老人愉悦性活动问卷的 汉化及信效度检验[J]. 中华护理杂志,2015,50(5):522- 526.
[7] 张 琼,尹安春,沈 莹,等. 中重度痴呆病人愉悦性活动 参与情况及其影响因素分析[J]. 中国护理管理,2019, 19(4):518-523.
[8] Valimaki TH, Martikainen JA, Hongisto K, et al. Impact of Alzheimer's disease on the family caregiver's long-term quality of life: results from an ALSOVA follow-up study [J]. Qual Life Res, 2016, 25(3): 687-697.
[9] 王 轶,王志稳,郝 薇,等. 居家痴呆老年人愉悦性活动 参与情况及影响因素研究[J]. 中华护理杂志,2017,52 (5):524-529.
[10] 陈淑娟. 肺癌病人自尊与死亡焦虑的相关性研究[J]. 护理 研究,2018,32(4):661-664.
[11] 张作记. 行为医学量表手册[M]. 北京:中华医学电子音像 出版社,2005. 121-156.
[12] 赵袁圆,王 毅,林 萍,等. 112例老年糖尿病肾病血液 透析病人家庭关怀度现状及其影响因素研究[J]. 中国护 理管理,2016,16(4):488-491.
[13] 张 琼,尹安春,王艾红,等. 中重度痴呆病人愉悦性活动 参与性与照顾者心理状况的相关性[J]. 中国心理卫生杂 志,2019,33(5):346-348.
[14] 江丹丹,陈红宇,胡君娥. 心理痛苦筛查工具在肺癌病人 中的应用研究进展[J]. 护理学报,2019,26(7):25-28.
[15] Calati R, Ferrari C, Brittner M, et al. Suicidal thoughts and behaviors and social isolation: a narrative review of the literature [J]. J Affect Disord, 2019, 245: 653-667.
[16] 许微微,李丽华. 青年脑卒中病人病耻感现状及影响因素 分析[J]. 全科护理,2019,17(14):1668-1670.
[17] 叶婷婷,赖小燕,吴文凤,等. 城市老人孤独感和生活满意 度的相关性[J]. 中国健康心理学杂志,2016,24(7): 1035-1039.
[18] 洪世茹,穆素红,李永春,等. 肺癌化疗病人希望水平与自 尊及领悟社会支持的相关性研究[J]. 护理学杂志,2013, 28(15):30-32.
[19] 闵萌萌. 老年眼部疾病病人家庭关怀度与自我负担及心 理健康的相关性[J]. 中国健康心理学杂志,2018,26 (12):1777-1780.

备注/Memo

备注/Memo:
(2020-01-09收稿,2020-02-26修回)
更新日期/Last Update: 1900-01-01