Quality of life and self-care in patients with Parkinson in a regional hospital: descriptive study
Abstract
Objectives: To determine the level of self-care and quality of life in a sample of patients in the early stages of Parkinson’s disease and identify the most highly affected dimensions of self-care and quality of life. To study the relationship between non-motor symptoms and these outcome measures.
Method: A cross-sectional study was conducted in a sample of 21 patients with stage I or II Parkinson’s disease as defined by the Hoenh Yarh Scale. We studied the level of self-care, quality of life, non-motor symptoms and perceived health status. Descriptive, inferential and correlation analyses were performed using SPSS v.20.
Results: Mean sample age was 71.86 (SD8.93) years old, and 52.4% were males. The mean score for self-care was 1.14 (SD0.35), and the most highly affected dimension was medication use, with 61.9% of the sample presenting complete autonomy, while for quality of life it was 17.28 (SD7.75), and the most highly affected dimension was bodily discomfort (m=35.03; SD19.61). We observed a correlation between non-motor symptoms and quality of life (r=0.246; p=0.022), but not between non-motor symptoms and self-care (r=0.010; p=0.662).
Conclusions: Our sample presented an acceptable level of self-care and quality of life. The most highly affected quality of life dimensions were bodily discomfort followed by cognitive impairment, and non-motor symptoms were related to the level of quality of life. It is important to consider these aspects when designing therapeutic education interventions targeting patients with Parkinson’s disease.
Downloads
-
Abstract1522
-
PDF (Español (España))1070
-
PDF1070
References
- Rodríguez Pupo Jorge Michel, Díaz Rojas Yuna Viviana, Rojas Rodríguez Yesenia, Ricardo Rodríguez Yuniel, Aguilera Rodríguez Raúl. Actualización en enfermedad de Parkinson idiopática. CCM. 2013 Jun; 17( 2 ): 163-177.
- Grupo Andaluz de Trastornos del Movimiento. Recomendaciones de Práctica Clínica en la Enfermedad de Parkinson. Sociedad Andaluza de Parkinson. Sociedad Andaluza de Neurología. 2012.
- García Ramos R, López Valdés E, Ballesteros L, De Jesús S, Mir P. Informe de la fundación del cerebro sobre el impacto social de la enfermedad de Parkinson en España. [monografía en internet]*. Madrid: 2013 [acceso 12 de febrero de 2015]. Disponible en: http://www.fundacióndelcerebro.es/docs/informe_parkinson.pdf
- Peñas Domingo E. El Libro Blanco del Párkinson en España. Aproximación, análisis y propuesta de futuro. Editor. Patronato sobre Discapacidad (Ministerio de Sanidad, Servicios Sociales e Igualdad. 2015.
- Massano J, Bhatia KP. Enfoque clínico de la enfermedad de Parkinson: Características, diagnóstico y Principios de la gestión. Cold Spring Harbor Perspectivas en Medicina. 2012; 2(6).
- Martínez Jurado E, Cervantes Arriaga A, Rodriguez Violante M. Calidad de vida en pacientes con enfermedad de Parkinson. Revista Mexicana de Neurociencia. 2010; 11(6): 480-486.
- Argandoña-Palacios L, Perona-Moratalla AB, HernándezFernández F, Díaz-Maroto I, García-Muñozguren S. Trastornos no motores de la enfermedad de Parkinson: introducción y generalidades. Rev Neurol 2010; 50(2):1-5.
- Benito León J, Bermejo Pareja F, Morales Gonzalez JM, Porta Etessam J, Trincado R, Vega S, Louis ED. Incidence of Parkinson disease and parkinsonism in trhee elderly populations of central Spain. Neurology. 2004;64: 734-41.
- Anzola PD, Galinsky D, Morales MF, Salas AM. La atención de los ancianos: un desafío para los años noventa. OPS/OMS. 1994; 546: 352-59.
- Von Elm E, Altman D, Egger M, Pocock S Gotzsche P, Vandenbrouke J. Declaración de la Iniciativa STROBE (Strengthening the Reporting of Observational studies in Epidemiology):directrices para la comunicación de studios observacionales. Gac Sanit. 2008; 22(2): 144-50.
- Hoehn MM, Yahr MD. Parkinsonismo: Aparición, progresión y mortalidad. Neurology; 1967; 17(5): 427-442.
- Cid Ruzafa J, Damián Moreno J. Valoración de la discapacidad física: el Índice de Barthel. Rev Esp Salud Pública. 1997; 71: 127-137.
- Schwab RS, England AC. En Third Symposium on Parkinson’s disease. E. And S. Livingstone: Edinburgh; 152-157, 1969.
- Hipocampo [sede web]*. Cádiz: Ricardo de la Vega y Antonio Zambrano; [actualizado 28 de septiembre de 2014]. Escalas y test; [aproximadamente 1 pantalla]. Disponible en: http://www.hipocampo.org/pfeiffer.asp
- Generalitat Valenciana. Escalas e Instrumentos para Valoración en Atención Domiciliaria. Valencia: Conselleria de Sanitat; 2006.
- Martínez-Martín P., Frades Payo B. Quality of life in Parkinson´s disease: validation study of the PDQ-39 Spanish version. The Grupo Centro for Study of Movement Disoders. J Neurol 1998; 245(1): 34-8.
- Internacional Parkinson’s Disease Non-Motor Group. Escala de evaluación de síntomas no motores en la enfermedad de Parkinson. [Monografía en Internet]*. Internacional Parkinson’s Disease Non-Motor Group [19 de octubre de 2014]. Disponible en: http://www.getm.info/documentos/Escala_de_evaluacion_de_sintomas_no_motores_E_Parkinson.pdf
- Gómez Picard P, Fuster Culebras J. Atención a la cronicidad: desafío estratégico, macrogestión y políticas de salud. Enfermería Clínica. 2014; 24(1): 12-17.
- Terriff D.L, Williams J.V.A, Patten S.B, Lavorato D.H, Bulloch A.G.M. Patterns of disability, care needs, and quality of life of people with Parkinson’s disease in a general population sample. Pakinsonism Relat Disord. 2012; 18: 828-832.
- Leonardi M, Raggi A, Pagani M, Carella F, Soliveri P, Albanese A, et al. Relationships between disability, quality of life and prevalence of nonmotor symptoms in Parkinson’s disease. Parkinsonism Relat Disord. 2012;18:35-39.
- Tamás G, Gulácsi L, Bereczki D, Baji P, Takáts A, Brodszky V, et al. Quality of Life and Costs in Parkinson’s Disease: A Cross Sectional Study in Hungary. Plos One. 2014; 9(9).
- Cano De la Cuerda R, Vela Desojo L, Miangolarra Page J, Macias Macias Y, Muños Hellin E. Calidad de vida relacionada con la salud en la enfermedad de parkinson. Medicina. 2010; 70: 503-507.
- Jones J.D, Malaty I, Price C.C, Okun MS, Bowers D. Health comorbidities and cognition in 1948 with idiopathic Parkinson’s disease. 2012; 18: 1073-1078.
- Magalhaes Navarro-Peternella F, Silva Marcon S. Calidad de vida de las personas con enfermedad de Parkinson y su relación con la evolución en el tiempo y la gravedad de la enfermedad. Latino-Am Enfermagem. 2012; 20(2): 384-91.
- Berganzo K, Tijero B, et.al. Síntomas no motores en la enfermedad de Parkinson y su relación con la calidad de vida y los distintos subgrupos clínicos. Neurología. 2014.
- Munhoz R, Moro A, Silveira-Moriyama L, Teive HA. Non-motor signs in Parkinson’s disease: a review. Arq Neuropsiquiatr. 2015: 1-9.
- Yang S, Sajatovic M, Walter B. Psychosocial Interventions for Depression and Anxiety in Parkinson’s Disease. Journal of Geriatric Psychiatry and Neurology. 2012; 25(2): 113-121.
- Carter J, Stewart B, Lyons K, Archbold P. Do Motor and Non-motor Symptoms in PD Patients Predict Caregiver Strain and Depression?. Movement Disorders. 2008; 23(9): 1211-1216.
- González Mestre A. La autonomía del paciente con enfermedades crónicas: De paciente pasivo a paciente activo. Enfermería Clínica. 2014;24(1): 67-73.
The works published in this magazine are subject to the following terms:
1. The Publications Service of the University of Murcia (the publisher) preserves the copyright of the published works, and encourages and allows the reuse of the works under the license for use stated in point 2.
© Servicio de Publicaciones, Universidad de Murcia, 2011 (© Publications Service, University of Murcia, 2011)
2. The works are published in the electronic edition of the journal under Creative Commons Reconocimiento-NoComercial-SinObraDerivada 3.0 España(texto legal) “ a Attribution-NonCommercial-NoDerivatives 3.0 Spain license (legal text)”. They can be copied, used, broadcasted, transmitted and publicly displayed, provided that: i) the authorship and original source of their publication (journal, publisher and URL) are cited; (ii) are not used for commercial purposes; iii) the existence and specifications of this license is mentioned.
3. Conditions of self-archiving. Authors are allowed and encouraged to electronically disseminate the pre-print (pre-reviewed ) and / or post-print (reviewed and accepted for publication) versions of their works prior to publication, as it ensures a wider circulation and dissemination which may lead to a possible increase in its mention and a higher scope among the academic community. RoMEO color: green.










