The Effect of Depression on Quality of Life in Patients with Parkinson's Disease: Mediating Effect of Family Function

Q3 Nursing
E. Bae, Hyeaung Kang
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引用次数: 0

Abstract

Purpose: The purpose of this study is to explore the roles and function of family in mediating the relationship between depression and quality of life of patients with Parkinson ’ s disease (PD). Most studies have found that depression is particularly common in patients with PD and further associated with poor quality of life. Family function, as a mediator, is based on a strength orientation perspective that emphasizes not only their responsibilities and risks but also recuperative powers and growth potential. Methods: Overall 157 adults with idiopathic Parkinson ’ s disease were enrolled in this study via outpatient clinic and completed a set of assessment to measure depression using BDI, family APGAR questionnaire, and patients ’ quality of life using PDQ-8. Hierarchical multiple regression analysis was conducted to examine the mediating role of family APGAR score in the relationship between BDI and PDQ-8. Results: Patients' depression, gait disturbance, duration of illness, and family function were statistically significant on quality of life. These factors accounted for 60% of the variance in quality of life. Family function has a partial mediating effect on the relationship between depression and quality of life. Conclusion: Findings from the study suggest that although PD patients' depression impacts their quality of life, by having strong family function, the extent to which depression impacts the quality of life can be favorably mitigated. Additionally, these outcomes have important implications for future model development regarding PD patients.
抑郁对帕金森病患者生活质量的影响:家庭功能的中介作用
目的:探讨家庭在帕金森病(PD)患者抑郁与生活质量关系中的作用和功能。大多数研究发现,抑郁症在PD患者中尤为常见,并进一步与生活质量差有关。家庭功能作为中介,基于力量取向的视角,既强调家庭的责任和风险,又强调家庭的恢复能力和成长潜力。方法:通过门诊入组157例特发性帕金森病成人患者,采用BDI量表、家庭APGAR量表和PDQ-8量表分别对患者抑郁程度进行评估。采用分层多元回归分析检验家庭APGAR评分在BDI与PDQ-8关系中的中介作用。结果:患者抑郁、步态障碍、病程、家庭功能对生活质量的影响均有统计学意义。这些因素占生活质量差异的60%。家庭功能对抑郁与生活质量的关系有部分中介作用。结论:本研究结果提示,虽然PD患者的抑郁会影响其生活质量,但由于家庭功能较强,抑郁对生活质量的影响程度可以得到较好的缓解。此外,这些结果对PD患者的未来模型开发具有重要意义。
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来源期刊
CiteScore
0.70
自引率
0.00%
发文量
12
期刊介绍: The Journal of Korean Academy of Community Health Nursing is the official journal of the Korean Academy of Community Health Nursing. This journal aims to provide worldwide access to tilmely research and practice feature of use to community health nurses, educators, school health teachers, occupational nurses, and administrators in the field of community health nursing. JKACHN coverage includes theoretical, practical, and educational issues related to community health nursing. Articles include original research articles, reviews, editorials.
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