파킨슨병 환자의 우울과 통증, 신체기능
Depression, Pain, and Physical Function in Patients with Parkinson’s Disease
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Purpose: This study was done to investigate the influence of depression and pain on physical function in patients with Parkinson's disease. Methods: A secondary data analysis was conducted of data from the study ‘An analysis of an impact of evidence based nonpharmacological intervention for Parkinson's disease in the community from an explanatory prediction model'. The participants included 118 patients with Parkinson's disease from a neurology outpatient department in a tertiary hospital in Seoul. Data on depression and pain were collected through self-reported questionnaires. Physical function was measured using Berg Balance Scale (BBS) and Timed up and go (TUG). Results: Of the participants, 55 (46.6%) were in the group with suggestive depression. The mean score for pain was 3.59 (possible range 0 to 10), and 77 (66.1%) participants reported presence of pain. The findings showed that depression was a predictive factor influencing BBS and TUG. However, the results showed that pain did not influence BBS and TUG. Conclusion: The results indicate a need to develop effective nursing interventions for patients with Parkinson's disease to enhance physical function by decreasing depression. Evidence-based nursing care including periodic depression and pain evaluation must be included in the care of these patients.
Abstract
Purpose: This study was done to investigate the influence of depression and pain on physical function in patients with Parkinson's disease. Methods: A secondary data analysis was conducted of data from the study ‘An analysis of an impact of evidence based nonpharmacological intervention for Parkinson's disease in the community from an explanatory prediction model'. The participants included 118 patients with Parkinson's disease from a neurology outpatient department in a tertiary hospital in Seoul. Data on depression and pain were collected through self-reported questionnaires. Physical function was measured using Berg Balance Scale (BBS) and Timed up and go (TUG). Results: Of the participants, 55 (46.6%) were in the group with suggestive depression. The mean score for pain was 3.59 (possible range 0 to 10), and 77 (66.1%) participants reported presence of pain. The findings showed that depression was a predictive factor influencing BBS and TUG. However, the results showed that pain did not influence BBS and TUG. Conclusion: The results indicate a need to develop effective nursing interventions for patients with Parkinson's disease to enhance physical function by decreasing depression. Evidence-based nursing care including periodic depression and pain evaluation must be included in the care of these patients.
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