Effect of Disability and Self-care Agency on Activities of Daily Living in Patients with Parkinson’s Disease

Sevil Güler1, Murat Gültekin2, Aysun Çidem1, Ayten Ekinci2

1Erciyes University Faculty of Health Sciences, Department of Nursing, Kayseri, Türkiye
2Erciyes University Faculty of Medicine, Department of Neurology, Kayseri, Türkiye

Keywords: Activities of daily living, disability, Parkinson’s disease, self-care agency

Abstract

Objective: This study aimed to determine the effects of disability and self-care agency of patients with Parkinson’s disease (PD) on activities of daily living (ADL).

Materials and Methods: The study sample comprised 81 individuals with PD meeting the inclusion criteria. The data to evaluate ADL were collected using a Patient Information Form, the Brief Disability Questionnaire (BDQ), Self-care Agency Scale, and Unified Parkinson’s Disease Rating Scale (UPDRS).

Results: Severe disability was determined in 48.1% of the patients. Patients who were in stages 3 and 4 of PD according to the Hoehn and Yahr Staging Scale and who also had another chronic disease-in particular, chronic obstructive pulmonary disease-were found to have significantly higher UPDRS scores than those who did not. It was determined that age, ability to meet personal care, and the presence of a carer caused a significant difference in disability, self-care agency, and the level of ADL (P < 0.05). The study identified a negative and moderately significant correlation between patients’ disability and self-care agency, a positive and highly significant correlation between disability and ADL, and a positive and moderately significant correlation between self-care agency and ADL (P < 0.00).

Conclusion: The development of disabilities in individuals with PD negatively affects their ADL and self-care power.

Ethics Committee Approval

Approval to conduct the study was obtained from the Erciyes University Faculty of Medicine Ethics Committee and written permission from the Erciyes University Health Research and Application Center Gevher Nesibe Hospital (2017/324, date: June 18, 2017).

Peer Review

Externally peer-reviewed.

Author Contributions

Surgical and Medical Practices: S.G., M.G., Concept: S.G., M.G., Design: S.G., M.G., Data Collection or Processing: A.Ç., A.E., Analysis or Interpretation: S.G., M.G., A.Ç., A.E., Literature Search: S.G., A.Ç., Writing: S.G., A.Ç.

Conflict of Interest

No conflict of interest was declared by the authors.

Financial Disclosure

The authors declared that this study received no financial support.