Parkinson Hastalarında Motor Olmayan Bulguların NMSQ Anketi Kullanılarak Değerlendirilmesi

İdiyopatik Parkinson Hastalığı (IPH) sık görülen bir hareket bozukluğudur. Hastaların özürlülüğüne motor belirtiler kadar, motor olmayan belirtiler de yol açar. Motor olmayan belirtiler (MOB) Parkinson hastalarında %88 oranında görülür. Bu semptomlar, hastaların yaşam kalitesinin bozulmasında önemli rol oynar. Hastaların modern ve özenli sağlık bakımlarına ulaşabilmesi için MOB’in tanınması ve tedavisi çok önemlidir. Bu nedenle bir grup uzman tarafından Parkinson hastalarında MOB’i ortaya koymak amacıyla NMSQuest adlı anket tasarlanmıştır. Anket uluslararası çalışmalarla geçerlilik ve güvenilirliğini kazanmıştır. Biz çalışmamızda Parkinson hastalarında MOB’i saptamak amacıyla NMSQuest’i kullanmaya karar verdik. Böylece Türkiye’de bu alanda kullanılabilecek ölçeklerin varlığına dikkat çekmeyi istedik. Ayrıca MOB’de erken teşhis ile tedavinin önemini vurgulamayı amaçladık. Çalışmamıza 29’u kadın, 46 ‘sı erkek olmak üzere toplam 75 İdiyopatik Parkinson hastası alındı. İdiyopatik Parkinson Hastalığı’nın hastalık şiddeti ve evresi, ‘Hoehn-Yahr’ skalası ile değerlendirildi. Sonuçlar güncel literatür eşliğinde tartışıldı. Motor olmayan belirtilerin olgulardaki oranı ve hastalığın evresiyle ilişkisi benzer çalışmalarla karşılaştırıldı. Sonuç olarak erken teşhis ve tedavinin önemi vurgulanmıştır.

Anahtar Kelimeler:

parkinson hastalığı, NMSQuest anketi, motor olmayan belirtiler

Assessment Of Nonmotor Symptoms In Patients With Parkinson’s Disease By Using Nonmotor Symtoms Questionnaire

Idiopathic Parkinson’s Disease (IPD) is a movement disorder with a high prevalance. Not only motor symptoms but also nonmotor symptoms (NMS) cause disability in patients with PD. NMS’s are reported 88% in IPD. NMS play an important role in decreasing the patient’s quality of life. The diagnosis and treatment of NMS are very important for giving modern healthcare to patients with PD. Therefore, a questionnaire called NMSQuest was defined by a group of specialists in order to detect NMS in PD patients. Validity and reliability of NMSQuest have been shown by international studies. In our study, we decided to use NMSQuest to detect NMS in patients with IPD. Thus, we want to draw attention to the presence of scale that can be used in this area in Turkey. We also aimed to emphasize the importance of early diagnosis and treatment of MOB. A total of 75 patients with IPD, 29 females and 46 males, were included in the study. The severity and stage of IPD were assesed with ‘Hoehn-Yahr’ scale. The results were discussed in light of current literature. The ratio of NMS in the cases and its relationship with the stage of the disease were compared with similar studies. The importance of early diagnosis and treatment of NMS is also emphasized.

Keywords:

idiopathic parkinson disease, NMSQuest questionnaire, nonmotor symptoms,

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