帕金森病患者的健康行为与功能和健康相关生活质量的关系。

IF 3.5 4区 医学 Q1 HEALTH POLICY & SERVICES
Michal Duvdevani, Galit Yogev-Seligmann, Ilana Schlesinger, Maria Nassar, Ilana Erich, Rafi Hadad, Michal Kafri
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引用次数: 0

摘要

背景:目前有关慢性疾病的证据表明,促进健康行为是对健康结果产生积极影响的一种手段。在帕金森病中,实施健康行为被认为是对抗疾病带来的长期负担的一种手段。因此,了解实际参与健康行为和患者的积极性及其与功能和健康相关生活质量的关系非常重要。我们的目标是在帕金森病患者中:(1) 描述健康行为的特点,包括康复治疗的使用情况、体育锻炼和患者活动水平;(2) 检验这些健康行为与健康结果之间的关联:对 88 名帕金森病患者(年龄为 66.84 ± 8.8)进行了横断面研究。参与者回答了测量健康行为的调查问卷,包括利用卫生专业治疗、体育锻炼、患者活动以及由功能和健康相关生活质量组成的健康结果。通过线性回归模型来检验测量的健康行为、功能和与健康相关的生活质量之间的关联:结果:参与者很少参与康复治疗,但患者积极性很高。在人口统计学和疾病严重程度的控制下,体力活动和患者积极性与功能相关(b = 0.41,p 结论:体力活动和患者积极性与功能相关:对于帕金森病患者的潜在健康相关益处,医疗专业人员的治疗方法未得到充分利用。研究结果支持健康行为对帕金森病患者保持功能和与健康相关的生活质量的重要性。研究还显示,运动症状和非运动症状对体育锻炼与生活质量之间的关联有不同的影响。建议政策制定者鼓励为帕金森病患者提供量身定制的体育锻炼机会,并采取积极主动的态度,提高人们对康复服务的认识和使用。试验注册 NCT05211700,ClinicalTrials.gov ID:NCT05211700首次发布时间:12/30/2021,https://classic.Clinicaltrials:gov/ct2/show/NCT05211700。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association of health behaviors with function and health-related quality of life among patients with Parkinson's disease.

Background: Current evidence on chronic conditions favors promotion of health behaviors as a mean to positively impact health outcomes. In Parkinson's disease, performing health behaviors is indicated as a means to fight the long-lasting burden of the disease. Understanding actual engagement in health behaviors and patient activation and their association to function and health-related quality of life is therefore important. Our objectives were, among people with Parkinson's disease: (1) to characterize health behaviors including utilization of rehabilitative treatments, physical activity, and patient activation levels, and (2) to test the associations between these health behaviors and health outcomes.

Methods: A cross-sectional study of 88 people with Parkinson's disease (age 66.84 ± 8.8) was conducted. Participants answered questionnaires measuring health behaviors including utilization of health professions treatments, physical activity, patient activation, and health outcomes consisting of function and health-related quality of life. Linear regression models were conducted to test associations between measured health behaviors, function and health-related quality of life.

Results: Participants rarely engage in rehabilitative treatments, but showed high levels of patient activation. Controlled by demographics and disease severity, physical activity and patient activation were associated with function (b = 0.41, p < .001; b = 0.2, p = .02, respectively) and physical activity but not patient activation, which was associated with health-related quality of life (b = 0.19, p = .03). There was also interaction effects of physical activity and non-motor symptoms, and physical activity and motor symptoms on health-related quality of life (b = 0.19, p = .02 and b = - 0.22, p = .01, respectively).

Conclusions: In respect to their potential health-related benefits for people with Parkinson's disease, health professionals' treatments are underutilized. Findings supported the importance of health behaviors for maintaining function and health-related quality of life among people with Parkinson's disease. They also show a differential contribution of motor and non-motor symptoms to the association between physical activity and quality of life. It is suggested that policy makers encourage opportunities for physical activity tailored for people with Parkinson's disease and adopt a proactive stance towards enhancing awareness and use of rehabilitation services. Trial registration NCT05211700, ClinicalTrials.gov ID: NCT05211700 first release 12/30/2021, https://classic.

Clinicaltrials: gov/ct2/show/NCT05211700.

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CiteScore
6.20
自引率
4.40%
发文量
38
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28 weeks
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