Gánh nặng chăm sóc bệnh nhân Parkinson có sa sút trí tuệ=Caregiver burden in patient with Parkinson’s disease dementia

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Tác giả: Thanh Bình Nguyễn, Ngọc Tuấn Vi

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Thần kinh học, 2024

Mô tả vật lý: tr.51-57

Bộ sưu tập: Metadata

ID: 241675

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Description of clinical features and assess the caregiver burden of patients with Parkinson’s disease dementia. Methods: Cross-sectional study on 50 patients diagnosed with Parkinson’s disease (PD) with dementia at the National Geriatric Hospital. PD patients were evaluated using Mini-Mental State Evaluation (MMSE), Barthel index, Parkinson’s Disease Questionnaire (PDQ- 39), and Neuropsychiatric Inventory (NPI)
Caregivers were evaluated using Depression Anxiety and Stress Scales (DASS21), and Parkinson’s Disease Carer Questionnaire (PDQcarer). The study was statistically processed with SPSS 16.0 software. Results: 50 Parkinson’s patients with dementia and their main caregivers. The mean age of the study group was 74,48 ± 8,195, with a male/female ratio of ≈ 1/1,6. The mean duration of illness was 9,26 ± 4,24. The mean MMSE score of patients with dementia was 19,92 ± 4,45. There are 46 Parkinson’s patients with dementia (92%) with at least one of the behavioral and mental disorders or more. The functional ability of Parkinson’s patients with dementia according to the Barthel scale is 42,00 ± 29,71. Quality of life in Parkinson’s patients with dementia according to PDQ-39 is 49,50 ± 31,52. The prevalence of depression - anxiety - stress according to the DASS21 scale of primary caregivers for Parkinson’s patients with dementia is 67%, 70%, and 37%, respectively. The mean PDQ-carer score of primary caregivers was 74,44 ± 33,72. Conclusion: The caregiver burden for Parkinson’s patients was increased in Parkinson’s patients with dementia.Mô tả đặc điểm lâm sàng và đánh giá gánh nặng chăm sóc bệnh nhân Parkinson có sa sút trí tuệ. Phương pháp nghiên cứu: Nghiên cứu cắt ngang trên 50 bệnh nhân được chẩn đoán bệnh Parkinson (PD) có sa sút trí tuệ (SSTT) tại Bệnh viện Lão khoa Trung Ương. Bệnh nhân PD được đánh giá bằng trắc nghiệm đánh giá trạng thái tâm thần tối thiểu (MMSE), chỉ số Barthel, thang điểm đánh giá chất lượng cuộc sống bệnh nhân Parkinson (PDQ-39), bộ câu hỏi phỏng vấn về trạng thái tâm thần (NPI)
người chăm sóc được đánh giá bằng thang đánh giá trầm cảm - lo âu - căng thẳng (DASS21), thang điểm chất lượng cuộc sống người chăm sóc bệnh nhân Parkinson (PDQ-carer). Nghiên cứu được xử lý thống kê với phần mềm SPSS 16.0. Kết quả: 50 bệnh nhân Parkinson có SSTT và người chăm sóc chính của họ. Tuổi trung bình của nhóm bệnh nhân nghiên cứu là 74,48 ± 8,195, tỷ lệ nam/nữ ≈1/1,6. Thời gian bị bệnh trung bình là 9,26 ± 4,24 năm. Điểm trung bình MMSE ở nhóm bệnh nhân có SSTT là 19,92 ± 4,45. Có 46 bệnh nhân Parkinson có SSTT (92%) có ít nhất một trong các rối loạn hành vi, tâm thần trở lên. Khả năng hoạt động của bệnh nhân Parkinson có SSTT theo thang điểm Barthel là 42,00 ± 29,71. Chất lượng cuộc sống bệnh nhân Parkinson có SSTT theo PDQ-39 là 49,50 ± 31,52. Tỉ lệ trầm cảm – lo âu – căng thẳng theo thang điểm DASS21 của người chăm sóc chính cho bệnh nhân Parkinson có SSTT lần lượt là 67%, 70% và 37%. Điểm PDQ-carer trung bình của người chăm sóc chính là 47,44 ± 23,72. Kết luận: Gánh nặng chăm sóc cho bệnh nhân Parkinson tăng lên khi có sa sút trí tuệ đi kèm.

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