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The Impact of Mindfulness on Quality of Life in Parkinson’s Disease: (A Randomized Clinical Trial)

机译:心灵对帕金森病质量的影响:(随机临床试验)

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Background: Parkinson’s disease (PD) is the second common neurodegenerative disorder afflicting a large number of elder populations. Itis mainly considered a movement disorder; however, the non-motor symptoms have a significant impact on the patients’ quality of life.This study aimed to evaluate the possible effect of mindfulness-based stress reduction training (MBSR) on the quality of life of patientswith PD.Materials and Methods: This study was conducted at the outpatient neurology clinic of Imam Reza and Razi University-Hospital-Tabriz,Iran. Participants were 40 patients aged 67.95±6.8 years (56-80) with a definite diagnosis of PD who were receiving dopaminergic drugsfor at least one year. Participants were randomly categorized into experiment and control groups with 20 patients in each. The experimentincluded 8-week MBSR training each for 2h with a 15-minute break between the first and second hours. The assessments includedpatients’ quality of life using the 39-Item Parkinson's disease questionnaire (PDQ-39) at baseline and after the experiment. The resultswere compared between two study groups and within each group using t-test analysis.Results: The assessment revealed a lower mean score in all PDQ-39 items in the experiment group compared to control group; however,the difference was only significant for social support (34.13±9.7 vs 26.19±7.7 for control and experiment group, respectively. P=0.007).The mean PDSI score of patients in the experiment group was 31.88±6.5 after one month compared to the baseline score of 33.93±6.2(p0.001). Overall PDSI decreased modestly in the experiment group by 5.12% after the experiment.Conclusion: In our study, mindfulness training improved the overall quality of life in PD patients. However, long-term follow up on alarge-scale population is required to evaluate the impact of mindfulness-based stress reduction on each item.
机译:背景:帕金森病(PD)是第二次常见的神经退行性疾病,涉及大量的老年人。 ITIS主要被认为是一种运动障碍;然而,非运动症状对患者的生活质量产生了重大影响。本研究旨在评估令人谨慎的压力减少培训(MBSR)对患者的生活质量的影响,PD.Materials和方法:该研究是在伊朗伊曼奥姆雷扎和razi大学 - 医院 - 哈里兹的门诊神经科诊所进行的。参与者的40名患者为67.95±6.8岁(56-80),具有至少一年的多巴胺能药物接受多巴胺能药物的PD诊断。将参与者随机分类为实验和对照组,每名患者20名。实验室限制为8周的MBSR培训2小时,在第一小时和第二小时之间休息15分钟。评估在基线和实验后,使用39-Item Parkinson的疾病问卷(PDQ-39)附加了“植物的生活质量”。结果寿命比较两种研究组和每组内的每组内使用T检验分析。结果:与对照组相比,评估显示实验组中所有PDQ-39项中的较低平均得分;但是,差异仅为社会支持(34.13±9.7 vs 26.19±7.7分别为控制和实验组。P = 0.007)。实验组患者的平均PDSI得分为31.88±6.5,与基线得分为33.93±6.2(p <0.001)。实验组在实验组中谦虚地减少了5.12%的总体PDSI。结论:在我们的研究中,谨慎培训在PD患者中提高了整体生活质量。然而,需要长期跟进扩展尺度群体来评估每个项目的谨慎的压力减少的影响。

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