Evolution of Quality of Life in Persons with Parkinson’s Disease: A Prospective Cohort Study

Parkinson’s disease (PD) is a chronic neurodegenerative disorder that results in important functional symptoms, altered mood, and deterioration in quality of life (QoL). This study aimed to determine the evolution of the QoL in persons with PD in the Albacete health district over a two-year period a...

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Main Authors: Eduardo Candel-Parra, María Pilar Córcoles-Jiménez, Victoria Delicado-Useros, Antonio Hernández-Martínez, Milagros Molina-Alarcón
Format: Article
Language:English
Published: MDPI AG 2021-04-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/10/9/1824
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author Eduardo Candel-Parra
María Pilar Córcoles-Jiménez
Victoria Delicado-Useros
Antonio Hernández-Martínez
Milagros Molina-Alarcón
author_facet Eduardo Candel-Parra
María Pilar Córcoles-Jiménez
Victoria Delicado-Useros
Antonio Hernández-Martínez
Milagros Molina-Alarcón
author_sort Eduardo Candel-Parra
collection DOAJ
description Parkinson’s disease (PD) is a chronic neurodegenerative disorder that results in important functional symptoms, altered mood, and deterioration in quality of life (QoL). This study aimed to determine the evolution of the QoL in persons with PD in the Albacete health district over a two-year period and identify associated sociodemographic, clinical, and socio-health characteristics. A cohort study was conducted of patients at different stages of PD in the Albacete health district. Calculated sample size: 155 patients. Instruments: A purpose-designed questionnaire for data collection and the “Parkinson Disease Questionnaire” (PDQ-39), which measures 8 dimensions and a global index where a higher score indicates worse quality of life. Three measurements were made: baseline, one year, two years. A descriptive and bivariate analysis was conducted. Ethical aspects: informed consent, anonymized data. Results: Mean age 69.51 (standard deviation, SD 8.73) years, 60% male, 75.5% married, and 85.5% lived with family. The most frequent motor symptoms were slow movement (86.23%), postural instability (55.5%), tremor (45.5%), and dyskinesia (24.6%). Among the non-motor symptoms were fatigue (66.2%), pain, daytime somnolence, constipation, and apathy, with approximately 50% each. The mean QoL score at baseline was 27.47 (SD 16.14); 95% CI (confidence interval) 24.91–30.03. At two years, global QoL had slightly worsened (28.3; SD 17.26; 95% CI 25.41–31.18), with a statistically significant worsening in mobility, activities of daily living, and communication, whereas social support improved.
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spelling doaj.art-9c64bf47c62742be8077a678e5225b2f2023-11-21T16:40:17ZengMDPI AGJournal of Clinical Medicine2077-03832021-04-01109182410.3390/jcm10091824Evolution of Quality of Life in Persons with Parkinson’s Disease: A Prospective Cohort StudyEduardo Candel-Parra0María Pilar Córcoles-Jiménez1Victoria Delicado-Useros2Antonio Hernández-Martínez3Milagros Molina-Alarcón4Department of Nursing, Physiotherapy and Occupational Therapy, Faculty of Nursing, University of Castilla-La Mancha, Av. de España, 02001 Albacete, SpainDepartment of Nursing, Physiotherapy and Occupational Therapy, Faculty of Nursing, University of Castilla-La Mancha, Av. de España, 02001 Albacete, SpainDepartment of Nursing, Physiotherapy and Occupational Therapy, Faculty of Nursing, University of Castilla-La Mancha, Av. de España, 02001 Albacete, SpainDepartment of Nursing, Physiotherapy and Occupational Therapy, Faculty of Nursing, University of Castilla-La Mancha, 13071 Ciudad Real, SpainDepartment of Nursing, Physiotherapy and Occupational Therapy, Faculty of Nursing, University of Castilla-La Mancha, Av. de España, 02001 Albacete, SpainParkinson’s disease (PD) is a chronic neurodegenerative disorder that results in important functional symptoms, altered mood, and deterioration in quality of life (QoL). This study aimed to determine the evolution of the QoL in persons with PD in the Albacete health district over a two-year period and identify associated sociodemographic, clinical, and socio-health characteristics. A cohort study was conducted of patients at different stages of PD in the Albacete health district. Calculated sample size: 155 patients. Instruments: A purpose-designed questionnaire for data collection and the “Parkinson Disease Questionnaire” (PDQ-39), which measures 8 dimensions and a global index where a higher score indicates worse quality of life. Three measurements were made: baseline, one year, two years. A descriptive and bivariate analysis was conducted. Ethical aspects: informed consent, anonymized data. Results: Mean age 69.51 (standard deviation, SD 8.73) years, 60% male, 75.5% married, and 85.5% lived with family. The most frequent motor symptoms were slow movement (86.23%), postural instability (55.5%), tremor (45.5%), and dyskinesia (24.6%). Among the non-motor symptoms were fatigue (66.2%), pain, daytime somnolence, constipation, and apathy, with approximately 50% each. The mean QoL score at baseline was 27.47 (SD 16.14); 95% CI (confidence interval) 24.91–30.03. At two years, global QoL had slightly worsened (28.3; SD 17.26; 95% CI 25.41–31.18), with a statistically significant worsening in mobility, activities of daily living, and communication, whereas social support improved.https://www.mdpi.com/2077-0383/10/9/1824Parkinson’s diseasequality of lifePDQ 39motor symptomsno-motor symptoms
spellingShingle Eduardo Candel-Parra
María Pilar Córcoles-Jiménez
Victoria Delicado-Useros
Antonio Hernández-Martínez
Milagros Molina-Alarcón
Evolution of Quality of Life in Persons with Parkinson’s Disease: A Prospective Cohort Study
Journal of Clinical Medicine
Parkinson’s disease
quality of life
PDQ 39
motor symptoms
no-motor symptoms
title Evolution of Quality of Life in Persons with Parkinson’s Disease: A Prospective Cohort Study
title_full Evolution of Quality of Life in Persons with Parkinson’s Disease: A Prospective Cohort Study
title_fullStr Evolution of Quality of Life in Persons with Parkinson’s Disease: A Prospective Cohort Study
title_full_unstemmed Evolution of Quality of Life in Persons with Parkinson’s Disease: A Prospective Cohort Study
title_short Evolution of Quality of Life in Persons with Parkinson’s Disease: A Prospective Cohort Study
title_sort evolution of quality of life in persons with parkinson s disease a prospective cohort study
topic Parkinson’s disease
quality of life
PDQ 39
motor symptoms
no-motor symptoms
url https://www.mdpi.com/2077-0383/10/9/1824
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