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轻中度帕金森病患者自我管理现状及影响因素分析 被引量:11

Self-management level of patients with mild to moderate Parkinson′s disease:the influencing factors
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摘要 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。 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 Di-sease 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-ma-nagement 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.
作者 陈文秀 王含 薄琳 武曌 李峥 Chen Wenxiu;Wang Han;Bo Lin;Wu Zhao;Li Zheng(School of Nursing,Peking Union Medical College,Beijing 100042,China)
出处 《护理学杂志》 CSCD 北大核心 2021年第15期23-26,共4页 Journal of Nursing Science
关键词 帕金森病 自我管理 自我效能 日常生活能力 社会支持 非运动症状 Parkinson′s disease self-management self-efficacy activity of daily living social support non-motor symptoms
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