Kako izboljšati kakovost življenja osebam s parkinsonizmom?
Avberšek, Andreja, 1979- ...
Parkinsonism is a chronic disorder of the central nervous system characterized by classical motor signs: tremor, rigidity, akinesia, postural impairment. Non-motor aspects of the disease (dementia, ...depression, vegetative disfunctions) can be equally disturbing and can considerably affect quality of life (QoL). As yet there has been no study in Slovenia on how various factors influence quality of life in Parkinsonian patients. The aim of the present work was to identify these factors and to propose certain measures which would improve patients' QoL. The patients were divided into two groups according to their perception of their QoL: in group A there were 12 patients with high QoL and in group B there were 11 patients with low QoL. The following parameters were studied in all patients: motor disability, impairment in daily activities, cognitive abilities, depression and self-assessment of their health state. Depression was assessed in carers. The two groups differed significantly in EQ-5D summary index, depression of patients, depression of carers and in impairment of daily activities. There were no differences between the groups in cognitive abilities and motor impairment. Our results show that depression and impairment in daily activities, but not motor or cognitive disability, influence QoL in patients with parkinsonism, considering that their motor symptoms are optimally treated. We propose that clinical examination of the patients includes not only motor assessment but also assessment of mood in patients and occasionally carers. Improvement in daily activities can be reached with a multidisciplinary team management of the patient.
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