パーキンソン氏病患者の病状把握のための評価表作成案

Abstract

Among the problems in today's medical care that we should consider are long waiting times and short office hours. Under these circumstances, the pathological state of the patient with Parkinson's disease easily changes during everyday life, even though periodical consultations with a doctor are carriedout. At present in medical institutions, medical exalnination and consultation hours are largely restricted and thus sufficient medical interrentions are not performed for this intractable disease. The aim of the present study was to develop an evaluation standard list composied of items corresponding to activities of daily living (ADL) specific for Parkinson's disease1) and quality of life (QOL)2) in order to understand psycho-physical function and ADL, and to arrive at a prognosis during a short medical examination by interview. The subjects for this study were 50 patients diagnosed with Parkinson's disease. I made a subjective QOL questionnaire and examined the subjective satisfaction of patients to their own QOL using this questionnaire. The items tightly correlated with satisfaction in daily life were falnily, role inthe home, relatives, costs of living, and satisfaction with house in home level. Using these tightly correlated items, an evaluation standard list that enables the shortening of appropriate medical examinations and treatments will be developed.