Korean Journal of Adult Nursing (성인간호학회지)

Korean Society of Adult Nursing (한국성인간호학회)
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Predicting Factors on Fatigue in Patients with Parkinson's Disease

파킨슨병 환자의 피로와 영향요인

  • 김성렬 (서울아산병원 신경과, 고려대학교 간호대학) ;
  • 정선주 (서울아산병원 신경과) ;
  • 유수연 (서울아산병원 신경과) ;
  • 김미선 (서울아산병원 신경과) ;
  • 박은옥 (서울아산병원 신경과) ;
  • 신나미 (고려대학교 간호대학) ;
  • 이숙자 (고려대학교 간호대학)
  • Received : 2011.04.13
  • Accepted : 2011.08.08
  • Published : 2011.08.31
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Abstract

Purpose: Fatigue is a common problem in Parkinson's disease (PD), affecting 30~65% of patients with that diagnosis. Only recently has fatigue been recognized as an important clinical feature of PD. The aim of this study was to investigate the level of fatigue and related factors in patients with PD. Methods: Between March 1, and September, 30, 2010, a sample of 181 PD patients agreed to be interviewed. Results: The female patients' PFS (Parkinson Fatigue Scale) score was higher than those of the male patients. Household income and having a Job were significantly correlated with the PFS scores. Among the disease characteristics, motor fluctuations, dyskinesia and modified Hoehn and Yahr stage were significantly correlated with the PFS scores. On stepwise regression analysis, the most important factors related to the PFS scores were depression and sleep disturbance. Conclusion: Fatigue in patients with PD was associated with many factors and strongly associated with depression and sleep disturbance. Fatigue is a multidimensional construct; therefore, multidimensional strategies for relieving specific aspects of fatigue are needed.

Keywords

References

  1. Adler, C. H. (2005). Nonmotor complication in Parkinson's disease. Movement disorders, 20(1), 23-29.
  2. Alves, G., Wentzel-Larsen T., & Larsen, J. P. (2004). Is fatigue an independent and persistent symptom in patients with Parkinson's disease? Neurology, 63, 1908-1911.
  3. Baik, J. S., Kim, J. Y., & Park, J. H. (2005). Parkinson's disease sleep scale in Korea. Journal of Korean Neurology Association, 23(1), 41-48.
  4. Beck, A. T. (1967). Depression: Clinical, experimental and theoretical aspects. New York, Harper & Row.
  5. Brown, R. G., Dittner, A., Findley, L., & Wessely, S. C. (2005). The Parkinson fatigue scale. Parkinsonism and Related Disorders, 11, 49-55.
  6. Chaudhuri, K. R., Pal, S., DiMarco, A., Whately-Smith, C., Bridgman, K, & Mathew, R., et al. (2002). The Parkinson's disease sleep scale: A new instrument for assessing sleep and nocturnal disability in Parkinson's disease. Journal of Neurology Neurosurgery Psychiatry, 73, 629-635.
  7. Cho, E. S. (2002). A study on the social support and the comfort of patients in admission. Unpublished master's thesis, Chung-Ang Univerity.
  8. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). New Jersey: Lawrence Erlbaum Associates.
  9. Faul, F., Erdfelder, E., Buchner, A., & Lang, A.-G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41, 1149-1160.
  10. Friedman, J. H., Brown, R. G., Comella, C., Garber, C. E., Krupp, L. B., Lou, J.-S., et al. (2007). Fatigue in Parkinson's disease: A Review. Movement Disorders, 22 (3), 297-308.
  11. Friedman, J. H., & Chou, K. L. (2004). Sleep and fatigue in Parkinson's disease. Parkinsonism and Related Disorders, 10 (Suppl.1), 27-35.
  12. Friedman J. H., & Friedman H. (1993). Fatigue in Parkinson's disease. Neurology, 43(10), 2016-2018.
  13. Hagell, P., & Brundin, L. (2009). Towards an understanding of fatigue in Parkinson's disease. Journal of Neurology Neurosurgery, and Psychiatry, 80, 489-492.
  14. Havlikova, E., Rosenberger, J., Nagyova, I., Middel, B., Dubayova, T., Gdovinova, Z. et al. (2008). Impact of fatigue on quality of life in patients with Parkinson's disease. European Journal of Neurology, 15, 475-480.
  15. Herlofson K., & Larsen J. P. (2002). Measuring fatigue in patients with Parkinson's disease-the Fatigue Severity Scale. European Journal of Neurology, 9, 595-600.
  16. Jeon, B. J. (1974). Self-esteem: A test of its measurability. Journal of Yonsei Medicine, 11, 107-129.
  17. Karlsen, K., Larsen, J. P., Tandberg, E., & Jorgensen, K. (1999). Fatigue in patients with Parkinson's disease. Movement Disorder, 14(2), 237-41.
  18. Kim, J. T., & Shin, D. K. (1978). A study based on the standardization of the STAI for Korea. New Medical Journal, 21(11), 69-75.
  19. Lee, Y. H., & Song J. Y. (1991). A study of the reliability and the validity of the BDI, SDS, and MMPI-D scales. Korean Journal of Clinical Psychology, 10(1), 98-113.
  20. Michael, K. M., Allen, J. K., & Macko, R. F. (2006). Fatigue after stroke: Relationship to mobility, fitness, ambulatory activity, social support, and falls efficacy. Rehabilitation Nursing, 31(5), 210-7.
  21. Okuma, Y., Kamei, S., Morita, A., Yoshii, F., Yamamoto, T., Hashimoto, S., et al. (2009). Fatigue in Japanese patients with Parkinson's disease: A study using Parkinson Fatigue Scale. Movement Disorders, 24(13), 1977-1983.
  22. Park, J. S. (1985). A study to development a scale of social support. Unpublished doctoral dissertation, the Yonsei University, Seoul.
  23. Qin, Z., Zhang, L., Sun, F., Fang, X., Meng, C., Tanner, C. et al.. (2009). Health related quality of life in early Parkinson's disease: Impact of motor and non-motor symptoms, results from Chinese levodopa exposed cohort. Parkinsonism and Related Disorders, 15, 767-771.
  24. Rosenberg, M. (1965) Society and the adolescent self-image Princeton. New Jersey: Princeton University Press.
  25. Seo, Y. M., Oh, H. S., Seo, W. S., & Kim, H. S. (2006). Comprehensive predictors of fatigue for cancer patients. Journal of Korean Academy of Nursing, 36(7), 1224-1231.
  26. Soh, S.-E., Morris, M. E., & McGinley, J. L. (2011). Determinants of health-related quality of life in Parkinson's disease: A Systematic review. Parkinsonism and Related Disorders, 17, 1-9.
  27. Spielberger, C. D. (1975). Anxiety; state-trait process: Stress and anxiety. New York: Joan Wiley & Sons, 115-144.
  28. Tack B. B. (1991). Dimensions and correlates of fatigue in older adults with rheumatoid arthritis. Doctoral dissertation. University of California, San-Francisco.
  29. Watts, R. L., & Koller, W. C. (1997). Movement disorders: Neurologic principles and practice. New York, McGraw- Hill.