国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2013年
22期
3387-3390
,共4页
帕金森病%便秘%相关因素%护理对策
帕金森病%便祕%相關因素%護理對策
파금삼병%편비%상관인소%호리대책
Parkinson%Constipation%Related factors%Nursing measurements
目的 分析帕金森病患者便秘发生率及相关因素,探讨便秘对帕金森患者生活质量的影响.方法 收集入住我院并诊断为帕金森病患者67例,记录包括各种危险因素在内的病史、体征、用药情况,便秘的评定方法依据罗马Ⅱ标准,同时要求病人在清醒、服药后采取面对面访谈的形式进行调查,运用简易智能状态检查量表(Mini-Mental State Examination,MMSE)、蒙特利尔认知评估量表(Montreal Cognitive Assessment,MOCA),便秘量表、汉密顿抑郁量表(Hamilton Depression Scale,HAMD)、汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA),Zung抑郁白评量表(Zung self-rating depression scale,ZSDS)评定患者的非运动症状(non-motor symptoms,NMS).结果 入选的67例患者发生便秘47例(67.65％),17例没有便秘,3例有大便失禁,发生便秘组HAMD和Zung抑郁自评分别为(13.52±10.05)分和(47.01±17.85)分,与非便秘组的(25.68±18.89)分和(57.04±13.17)分比较,差异均有统计学意义(P＜0.05).Logistic回归分析示PD便秘患者与HAMD、ZUNG因素有关(P＜0.05).呈正相关,统计学呈显著性.结论 帕金森病患者便秘发生率较高,便秘与抑郁非运动症状相关.
目的 分析帕金森病患者便祕髮生率及相關因素,探討便祕對帕金森患者生活質量的影響.方法 收集入住我院併診斷為帕金森病患者67例,記錄包括各種危險因素在內的病史、體徵、用藥情況,便祕的評定方法依據囉馬Ⅱ標準,同時要求病人在清醒、服藥後採取麵對麵訪談的形式進行調查,運用簡易智能狀態檢查量錶(Mini-Mental State Examination,MMSE)、矇特利爾認知評估量錶(Montreal Cognitive Assessment,MOCA),便祕量錶、漢密頓抑鬱量錶(Hamilton Depression Scale,HAMD)、漢密爾頓焦慮量錶(Hamilton anxiety scale,HAMA),Zung抑鬱白評量錶(Zung self-rating depression scale,ZSDS)評定患者的非運動癥狀(non-motor symptoms,NMS).結果 入選的67例患者髮生便祕47例(67.65％),17例沒有便祕,3例有大便失禁,髮生便祕組HAMD和Zung抑鬱自評分彆為(13.52±10.05)分和(47.01±17.85)分,與非便祕組的(25.68±18.89)分和(57.04±13.17)分比較,差異均有統計學意義(P＜0.05).Logistic迴歸分析示PD便祕患者與HAMD、ZUNG因素有關(P＜0.05).呈正相關,統計學呈顯著性.結論 帕金森病患者便祕髮生率較高,便祕與抑鬱非運動癥狀相關.
목적 분석파금삼병환자편비발생솔급상관인소,탐토편비대파금삼환자생활질량적영향.방법 수집입주아원병진단위파금삼병환자67례,기록포괄각충위험인소재내적병사、체정、용약정황,편비적평정방법의거라마Ⅱ표준,동시요구병인재청성、복약후채취면대면방담적형식진행조사,운용간역지능상태검사량표(Mini-Mental State Examination,MMSE)、몽특리이인지평고량표(Montreal Cognitive Assessment,MOCA),편비량표、한밀돈억욱량표(Hamilton Depression Scale,HAMD)、한밀이돈초필량표(Hamilton anxiety scale,HAMA),Zung억욱백평량표(Zung self-rating depression scale,ZSDS)평정환자적비운동증상(non-motor symptoms,NMS).결과 입선적67례환자발생편비47례(67.65％),17례몰유편비,3례유대편실금,발생편비조HAMD화Zung억욱자평분별위(13.52±10.05)분화(47.01±17.85)분,여비편비조적(25.68±18.89)분화(57.04±13.17)분비교,차이균유통계학의의(P＜0.05).Logistic회귀분석시PD편비환자여HAMD、ZUNG인소유관(P＜0.05).정정상관,통계학정현저성.결론 파금삼병환자편비발생솔교고,편비여억욱비운동증상상관.
Objective To analyze the incidence and related factors in Parkinson with constipation,discussing the impact on quality of life in Parkinson patients with constipation.Methods We collected sixtyseven patients diagnosed as Parkinson in our hospital,recording all kinds of risk factors,including medical history,vital signs and medication history,constipation was defined by Rome Ⅱ criteria,data collected through face to face interview when patients were sober and after taking medicine,Hamilton Depression Scale (HAMD),Hamilton anxiety scale,Mini-Mental State Examination,Zung self-rating depression scale (ZSDS),Montreal Cognitive Assessment were recorded to evaluate the non-motor symptoms.Results Forty-seven of sixty-seven patients had constipation,the patients with constipation had higher HAMD and ZSDS than patients without constipation,which had statistic significance (P ＜ 0.05,respectively).Logistic regression showed that the incidence of constipation was strongly related to HAMD and ZSDS (P ＜ 0.05).Conclusion The incidence of constipation is higher and related to depression non-motor symptoms.
