膀胱过度活动症对帕金森病病人生活质量的影响

Influence of overactive bladder on quality of life of patients with Parkinson's disease

[目的]调查帕金森病病人膀胱过度活动症对生活质量的影响。[方法]采取方便抽样法,选取2016年1月—2016年7月广州医科大学附属第一医院门诊及住院帕金森病病人57例,应用膀胱过度活动症评分和帕金森病生活质量调查表进行问卷调查,同时收集病人基线资料结果,以单因素及多因素方法分析排尿功能状况及一般人口学资料对其生活质量的影响。[结果]夜间排尿、尿急及急迫性尿失禁与帕金森病生活质量领域中运动功能、生活自理能力、病耻感及社会交流呈正相关(P<0.05);病程、ADL评分、便秘、夜间排尿次数、尿急次数、尿失禁次数为帕金森病病人生活质量不同领域的影响因素,其中病程、ADL评分、便秘解释了生活质量领域中运动功能、生活自理能力、病耻感、社会交流19.3%~37.7%的变异量,控制以上基本变量后,夜间排尿次数、尿急次数、尿失禁次数对以上领域的解释力度增加了8.8%~18.8%。[结论]帕金森病病人的夜尿、尿急和尿失禁严重影响其运动功能、生活自理能力及社会交流,护士应重视对帕金森病病人排尿障碍的护理,提高其生活质量。

Objective：To probe into the influence oi overacuve man - kinson＇s disease（PD）. Methods：A total of 57 cases of inpatients and outpatient with Parkinson＇s disease were selected in our hospital by convenient sampling method. They received a questionnaire survey with overactive bladder score（OABSS） and the quality of life in parkinson＇s disease questionnre（PDQ39）, at the same time also baseline data of patients was collected. Single factor and multi factor analysis were used to analyze the influence of the general situation and the demographic data on their quality of life. Results：Nocturnal urination, urgency and urgency urinary incontinence were positive related to sports function, self - care ability, sense of shame and social communication in quality of life of patients with Parkinson＇s disease（P〈0.05） ;duration of disease,ADL score, constipation, number of urination at night, number of urgency, number of urinary incontinence were influencing factor of quality of life of of patients wit.h Parkinson＇ s disease in different areas, duration of disease, ADL score, constipation explained the 19.3%- 37.7 %variance of sports function, self - care ability, sense of shame and social communication in quality of life. After controlling the basic variance, the explaining intensity of number of urination at night,the number of urgency and the number of urinary incontinence increased the 8.8 %- 18.80% for above field. Conclusions： Parkinson＇ s disease patients with noeturia, urgency and incontinence seriously affected the motor function self - care ability and emotional and social communication ability. Nurses should pay attention to nursing of urination disorders in patients with Parkinson disease and improve the quality of life.