文章摘要
帕金森病患者对支持性服务需求及其未被满足需求的影响因素分析
Analysis of unmet demand for supportive services in patients with Parkinson's disease and its influencing factors
投稿时间:2024-05-27  
DOI:10.3969/j.issn.1000-0399.2024.11.022
中文关键词: 帕金森病  支持性服务需求  未被满足需求  影响因素
英文关键词: Parkinson’s disease  Supportive services  Unmet needs,Influencing factors
基金项目:2022年安徽省临床医学研究转化专项立项项目(编号:202204295107020063)
作者单位E-mail
汪秀勤 237000 安徽六安 安徽医科大学附属六安市人民医院神经内科  
钟平 234000 安徽宿州 安徽医科大学附属宿州医院神经内科  
汪超群 237000 安徽六安 安徽医科大学附属六安市人民医院心内科  
张久静 237000 安徽六安 安徽医科大学附属六安市人民医院神经内科  
姜婷婷 237000 安徽六安 安徽医科大学附属六安市人民医院神经内科  
程燕 237000 安徽六安 安徽医科大学附属六安市人民医院神经内科 chengyan900110@163.com 
朱余娟 237000 安徽六安 安徽医科大学附属六安市人民医院神经内科  
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中文摘要:
      目的 深入分析帕金森病(PD)患者对于支持性服务的具体需求,以及这些需求未得到满足的原因,旨在为医疗工作者提供制定个性化干预策略的科学依据。方法 研究团队于2022年6月至2024年5月期间,对安徽医科大学附属六安市人民医院神经内科接收的213例PD患者进行了详尽的调查,通过填写基础信息问卷和支持性服务未满足需求问卷来收集数据,采用单因素、多因素分析PD患者对支持性服务需求的特点,以及其未被满足需求的影响因素。结果 PD患者的支持性服务需求评分为(101.67±10.56)分,而未满足的需求评分为(87.71±8.81)分。初步分析表明,患者的年龄、婚姻状态、教育水平、主要照护者、医疗费用支付方式以及日常生活自理能力等因素,均与他们的支持性服务需求和未满足需求之间存在显著差异(P<0.05)。进一步的多因素回归分析显示,患者的年龄、婚姻状态、家庭平均月收入、教育水平、对疾病的认知程度以及疾病进展阶段,是决定其支持性服务需求的关键因素(P<0.05);同时,这些因素也显著影响了支持性服务需求的未满足情况(P<0.05)。结论 PD患者支持性服务需求和未被满足需求的主要影响因素有共同之处,都需针对性地进行干预和改进。
英文摘要:
      Objective To explore the factors influencing the demand for supportive services and unmet needs of patients with Parkinson's disease, and to provide reference for the formulation of targeted intervention measures. Methods A total of 213 patients with PD admitted to the Department of Neurology of Lu’an People’s Hospital affiliated to Anhui Medical University from June 2022 to June 2024 were selected as the investigation objects, andunivariate and multivariate analysis were used to analyze the characteristics of PD patients’ demand for supportive services, and the influencing factors of their unmet demand. Results The cumulative support service requirement score for PD patients amounted to (101.67±10.56), whereas the score for unfulfilled support service needs was (87.71±8.81). A univariate examination revealed that there were considerable statistical disparities in the supportive service demand scores and unmet needs across PD patients of varying ages, martial statuses, educational backgrounds, primary caregivers, hospital expense payment methods, and levels of daily dependency (P<0.05). Through multiple linear regression analysis, it was determined that age, martial status, monthly household income per capita, level of disease comprehension, and the stage of the illness were pivotal determinants influencing the requirement for supportive services in PD patients (P<0.05). Additionally, these factors-age, martial status, monthly household income per capita, level of disease understanding, and disease progression-also significantly contributed to the unmet demand for supportive services (P<0.05). Conclusion The determinants affecting both the demand for and the unmet demand for supportive services in PD patients exhibit commonalities, indicating a need for focused interventions and enhancements.
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