Abstract | Cilj: Ispitati pojavnost poremećaja spavanja i ispitati njegov utjecaj na kvalitetu života u oboljelih od Parkinsonove bolesti te utvrditi postoje li razlike u poremećaju spavanja prema spolu i dobi, razini obrazovanja, duljini trajanja bolesti i s obzirom na samozbrinjavanje.
Ispitanici i metode: Istraživanjem je bio obuhvaćeno 40 ispitanika oboljelih od Parkinsonove bolesti i 40 ispitanika kontrolne skupine. Kao instrument istraživanja uporabljen je standardizirani upitnik procjene kvalitete spavanja za oboljele od Parkinsonove bolesti PDSS i standardizirani upitnik kvalitete života oboljelih od Parkinsonove bolesti PDQ39.
Rezultati: Značajno su nezadovoljniji spavanjem ispitanici koji boluju od Parkinsonove bolesti, u odnosu na kontrolnu skupinu s ocjenom (Mann Whitney test, p<0,001). Značajno su nezadovoljniji kvalitetom spavanja ispitanici koji u velikoj mjeri ili u potpunosti ovise o tuđoj pomoći (Mann Whitney test, p=0,048). U mobilnosti značajnije više su nezadovoljne žene u odnosu na muškarce (Mann Whitney test, p=0,038). Značajno su nezadovoljniji društvenim odnosima ispitanici sa završenom samo osnovnom školom (Kruskal Wallis test, p=0,025).
Ukupna kvaliteta života najbolja je kod ispitanika koji žive sa supružnikom (Kruskal Wallis test, p=0,033). Ako je manje zadovoljstvo kvalitetom spavanja, značajno je veće nezadovoljstvo sa svim podskalama kvalitete života: mobilnost (p<0,001), aktivnost (p<0,001), emocionalni status
(p<0,001), stigma (p=0,002), kognitivni status (p=0,001), tjelesno zdravlje (p=0,001) i ukupnom skalom (p<0,001), osim s društvenim odnosima (p=0,110).
Zaključak: Istraživanje pokazuje pojavnost poremećaja spavanja u oboljelih od Parkinsonove bolesti; što je zadovoljstvo kvalitetom spavanja manja, značajno je veće nezadovoljstvo sa svim podskalama kvalitete života i ukupnom skalom, osim s društvenim odnosima. |
Abstract (english) | Aim: To research the sleeping disorder phenomenon and to examine its effect on the quality of life in patients with Parkinson`s disease, and determine whether there are differences in sleeping disorder regarding sex and age, level of education, duration of disease and considering the self-care.
Examinees and methods: The research included 40 examinees with Parkinson`s disease and 40 examinees in the control group. The research instrument was a standardized questionnaire for assessing the quality of sleeping in patients with Parkinson`s disease PDSS and standardized questionnaire for the quality of life in patients with Parkinson`s disease PDQ39.
Results: The examinees with Parkinson`s disease are significantly more dissatisfied with sleeping than the control group with the result (Mann Whitney test, p<0,001). Significantly dissatisfied with the quality of sleeping are the patients who are highly or entirely dependent on the help of others (Mann Whitney test, p=0,048). Regarding mobility, women are far more dissatisfied than men (Mann Whitney test, p=0,038). Regarding social relations, examinees who finished only primary school are significantly dissatisfied (Kruskal Wallis test, p=0,025). Entire quality of life is the highest in the examinees living with a spouse (Kruskal Wallis test, p=0,033). The less satisfied with the quality of sleeping, the more dissatisfied with all the subscales of the quality of life: mobility (p<0,001), activity (p<0,001), emotional status (p<0,001), stigma (p=0,002), cognitive status (p=0,001), physical health (p=0,001) and total scale (p<0,001); social relations excluded (p=110).
Conclusion: The research proved the sleeping disorded in patients with Parkinson`s disease; the less the satisfaction with the quality of sleeping, the more dissatisfaction with all the subscales of the quality of life, and total scale, except the social relations.
Key words: Parkinson`s disease, quality of life, sleeping disorder, PDQ39, PDSS |