帕金森病病人DBS后愉悦性活动的影响因素分析  

Analysis of influencing factors of pleasant events in patients with Parkinson’s disease after deep brain stimulation

作　　者：纪凡 李萌 顾锐 张燕 JI Fan;LI Meng;GU Rui;ZHANG Yan(Department of Functional Neurosurgery,Xuanwu Hospital,Capital Medical University,Beijing Institute of Functional Neurosurgery,Beijing 100053,China)

机构地区：[1]首都医科大学宣武医院北京功能神经外科研究所,北京100053

出　　处：《中国临床神经外科杂志》2020年第5期289-292,共4页Chinese Journal of Clinical Neurosurgery

摘　　要：目的探讨帕金森病(PD)病人脑深部电刺激术(DBS)后愉悦性活动的影响因素。方法回顾性分析2018年9月至2019年8月DBS后门诊随访的163例PD的病例资料。DBS后3~6个月门诊随访时,使用愉悦性活动问卷、自尊量表和家庭关怀度指数问卷进行问卷调查,当场发放并回收。结果PD病人DBS后愉悦性活动参与得分为(17.41±7.61)分。单因素分析显示,年龄、婚姻状况、职业、教育程度、病程、并发症和H-Y分期与PD病人DBS后愉悦性活动得分有关(P<0.05);进一步行多元线性逐步回归分析结果显示,自尊、年龄、病程和家庭关怀度指数是愉悦性活动的主要影响因素。PD病人DBS后愉悦性活动得分与自尊呈负相关(r=-0.492,P<0.001),与家庭关怀度呈正相关(r=0.467,P<0.001)。结论PD病人DBS后愉悦性活动处于中度水平,医护人员应该重视其影响因素,鼓励病人多参与愉悦性活动,提高病人生活质量。Objective To investigate the influencing factors of pleasant events in the patients with Parkinson’s disease(PD)after deep brain stimulation(DBS).Methods The clinical data of 163 patients with PD who were treated with DBS from September 2019 to August 2019 were analyzed retrospectively.The questionnaires including self-designed general information questionnaire,Pleasant Events Schedule,Self-Esteem Scale and Family Care Index Questionnaire were performed in all the patients during the follow-up 3 to 6 months after the operation.Results The total score of pleasant events in thses patients after DBS was(17.41±7.61).Univariate analysis showed that age,marital status,occupation,degree of education,course of illness,complications and H-Y stage were influencing factors of pleasant events.Multivariate linear regression analysis showed that self-esteem,age,course of illness,and index of family care were the main factors influencing pleasant events.Pleasant events were negatively correlated with self-esteem and positively correlated with family care.Conclusion The overall level of pleasant events in the patients with PD after DBS is at a middle level.Medical staff should pay attention to the influencing factors of pleasant events,encourage the patients to participate more in pleasant activities in order to improve the life quality of the patients.

关 键 词：帕金森病 脑深部电极刺激术 愉悦性活动 影响因素 

分 类 号：R742.5[医药卫生—神经病学与精神病学] R651.11[医药卫生—临床医学]