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FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KUALITAS HIDUP PENDERITA PENYAKIT PARKINSON di POLIKLINIK SARAF RS DR KARIADI Factors associate with Quality of Life on Parkinson Disease in Neurology Out Patient Department of Dr Kariadi Hospital

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Keywords
  • Rc0321 Neuroscience. Biological Psychiatry. Neuropsychiatry

Abstract

Background: The management of Parkinson disease recently focused to limit movement disorder and to inhibit progresivity of the disease. Parkinson disease not only gives manifestasion on movement disorder but also incidence of depression, cognitive impairment and long term drugs side effects that influences quality of life. The improvement of Quality of life is important as a goal in management on chronic disease. The study was focused on identifying factors that influence Quality of Life on Parkinson patients. Methods: A cross sectional observation study. Subjects were all Parkinson patient in neurology out patient Department of Dr Kariadi Hospital Semarang which are selected by inclusion and exclusion criteria. The independent variables of the study are age, drugs, depression, social activity, stadium of the disease, cognitive impairment and diskinesia, while dependent variable is PDQ-39 score. Results: There were 31 patients, which complete the study. The variables difference were statistically significant (p< 0, 05) on variables depression, social activity and stadium of the disease. Conclusions: There was an association between depression, social activity and stadium of the disease with quality of life.Latar Belakang: Pengobatan penyakit Parkinson saat ini bertujuan untuk mengurangi gejala motorik dan memperlambat progresivitas penyakit. Tetapi selain ganguan motorik penyakit Parkinson juga mengakibatkan gejala non motorik seperti depresi dan penurunan kognitif, disamping terdapat efek terapi obat jangka panjang. Hal tersebut tentu saja mempengaruhi kualitas hidup penderita penyakit Parkinson. Peningkatan kualitas hidup adalah penting sebagai tujuan pengobatan pada penyakit kronis. Pada penelitian ini bertujuan mengetahui faktor-faktor yang berhubungan dengan kualitas hidup Penderita Parkinson . Metode penelitian: Penelitian ini merupakan penelitian observasional secara cross sectional. Pengambilan data dari semua pasien Parkinson yang dirawat di Instalasi Rawat Jalan RS Dr.Kariadi Semarang yang memenuhi kriteria inklusi. Variabel bebas adalah umur, jenis pengobatan, kejadian depresi, aktivitas sosial, stadium penyakit Parkinson, gangguan kognitif dan diskinesia, sedangkan variabel tergantung skor PDQ-39. Hasil:. 31 pasien yang mengikuti penelitian. Terdapat perbedaan bermakna rerata skor PDQ-39 (p < 0,05) dari variabel kejadian depresi, aktivitas sosial dan stadium penyakit. Simpulan: Terdapat hubungan antara stadium penyakit, kejadian depresi dan aktivitas sosial dengan kualitas hidup.

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