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Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration最新文献

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The correlation between social support, coping style, advance care planning readiness, and quality of life in patients with amyotrophic lateral sclerosis: a cross-sectional study. 肌萎缩性脊髓侧索硬化症患者的社会支持、应对方式、预先护理计划准备程度和生活质量之间的相关性:一项横断面研究。
IF 2.8 4区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2024-09-18 DOI: 10.1080/21678421.2024.2400520
Zhijie Zhang,Xin He,Jing Wang,Jialu Cui,Baoxin Shi
OBJECTIVEThe primary goal for clinical healthcare professionals is to enhance the quality of life (QOL) of patients with amyotrophic lateral sclerosis (ALS). This study aimed to explore the correlation between social support, coping style, advance care planning (ACP) readiness, and QOL in patients with ALS. We also sought to analyze the mediating effect of coping style and ACP readiness between social support and QOL, and to provide insights for developing targeted interventions to improve patients' QOL.METHODSA cross-sectional design was used, with participants recruited through convenience sampling in Tianjin, China. Statistical analysis included the t-test, analysis of variance, correlation analysis, and mediating effect analysis.RESULTSThe study included 215 participants. The QOL of patients with ALS was at a medium level, with significant correlations between social support, coping style, ACP readiness, and QOL (all p < 0.01). The direct effect of social support on QOL was 0.403 (p = 0.018), accounting for 41.85% of the total effect. The total indirect effect of social support on QOL through coping style and ACP readiness was 0.560 (p < 0.001), accounting for 58.15% of the total effect. The chain mediating effect involving facing, avoiding, and ACP readiness accounted for 16.72%.CONCLUSIONSocial support directly influenced QOL and had an indirect impact through coping style and ACP readiness. Healthcare professionals can improve the QOL of patients with ALS by enhancing social support, disease-coping ability, and ACP readiness in clinical practice.
目的:临床医护人员的首要目标是提高肌萎缩侧索硬化症(ALS)患者的生活质量(QOL)。本研究旨在探讨 ALS 患者的社会支持、应对方式、预先护理计划(ACP)准备程度和 QOL 之间的相关性。方法本研究采用横断面设计,在中国天津通过便利抽样招募参与者。统计分析包括 t 检验、方差分析、相关分析和中介效应分析。ALS 患者的 QOL 处于中等水平,社会支持、应对方式、ACP 准备程度与 QOL 之间存在显著相关性(均 p <0.01)。社会支持对 QOL 的直接效应为 0.403(p = 0.018),占总效应的 41.85%。社会支持通过应对方式和 ACP 准备程度对 QOL 的间接效应为 0.560(p < 0.001),占总效应的 58.15%。结论 社会支持直接影响 QOL,并通过应对方式和 ACP 准备程度产生间接影响。医护人员在临床实践中可以通过增强社会支持、疾病应对能力和ACP准备度来改善ALS患者的QOL。
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引用次数: 0
Effects of COVID-19 on motor neuron disease mortality in the United States: a population-based cross-sectional study COVID-19 对美国运动神经元疾病死亡率的影响:基于人群的横断面研究
IF 2.8 4区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2024-09-14 DOI: 10.1080/21678421.2024.2401621
Jaime Raymond, James D. Berry, Theodore Larson, D. Kevin Horton, Paul Mehta
In March 2020, the World Health Organization declared the coronavirus disease 2019 (COVID-19) to be a pandemic, stating that those with underlying health conditions are most susceptible, including ...
2020 年 3 月,世界卫生组织宣布 2019 年冠状病毒病(COVID-19)为大流行病,并指出有潜在健康问题的人最容易感染,包括...
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引用次数: 0
SOD1 gene screening in ALS – frequency of mutations, patients’ attitudes to genetic information and transition to tofersen treatment in a multi-center program 肌萎缩性脊髓侧索硬化症(ALS)的 SOD1 基因筛查 - 突变频率、患者对遗传信息的态度以及多中心项目中向托非森治疗的转变
IF 2.8 4区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2024-09-13 DOI: 10.1080/21678421.2024.2401131
Thomas Meyer, Peggy Schumann, Torsten Grehl, Ute Weyen, Susanne Petri, Annekathrin Rödiger, Robert Steinbach, Julian Grosskreutz, Sarah Bernsen, Patrick Weydt, Joachim Wolf, René Günther, Maximilian Vidovic, Petra Baum, Moritz Metelmann, Jochen H. Weishaupt, Berthold Streubel, David C. Kasper, Yasemin Koc, Dagmar Kettemann, Jenny Norden, Philipp Schmitt, Bertram Walter, Christoph Münch, Susanne Spittel, André Maier, Péter Körtvélyessy
Objective: To report the frequency of pathogenic SOD1 gene variants in a screening program in amyotrophic lateral sclerosis (ALS), and the clinical practice of transition to an expanded access prog...
目的报告肌萎缩性脊髓侧索硬化症(ALS)筛查计划中致病性 SOD1 基因变异的频率,以及过渡到扩大访问计划的临床实践。
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引用次数: 0
A nurse coaching intervention to improve support to individuals living with ALS. 护士指导干预,改善对 ALS 患者的支持。
IF 2.8 4区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2024-09-11 DOI: 10.1080/21678421.2024.2399154
Susan Walsh,Zachary Simmons,Sheridan Miyamoto,Andrew Geronimo
OBJECTIVEHealth coaching may supplement the multidisciplinary ALS clinic model to facilitate patient-centered health behavior change. The aim of this study was to determine the effects of nurse health coaching (NHC) on the quality of life and self-efficacy of individuals living with ALS.METHODSTwenty-nine participants were randomized at 1:1 to the standard of care and coaching arms. All participants attended multidisciplinary ALS clinic visits quarterly, at which times they completed assessments of quality of life and self-efficacy. Those in the coaching arm participated in monthly coaching with a nurse coach over 12 months. The coaching sessions utilized motivational interviewing to identify personal goals along with barriers and solutions to achieve them. Linear mixed-effect models were used to quantify the effect of coaching on quality of life and self-efficacy outcomes. Thematic analysis was performed to summarize the participants' experiences with coaching.RESULTSAdherence to the coaching intervention was good. No effects of coaching were observed on the primary outcomes of quality of life and self-efficacy, although debriefed participants reported that they would recommend it to others. Patients and caregivers reflected on the impacts of coaching that extended beyond the pre-defined study outcomes and measures put in place to gauge effectiveness.CONCLUSIONSThe elicited qualitative themes illustrating patient experience of coaching demonstrate the utility of nurse coaching as an important adjunct support to complement the multidisciplinary ALS clinic model.
目的健康指导可作为 ALS 多学科门诊模式的补充,促进以患者为中心的健康行为改变。本研究旨在确定护士健康指导(NHC)对 ALS 患者的生活质量和自我效能的影响。所有参与者每季度接受一次 ALS 多学科门诊,并在门诊期间完成生活质量和自我效能评估。辅导组的参与者则在 12 个月内每月接受一次护士教练的辅导。辅导课利用动机访谈法确定个人目标以及实现目标的障碍和解决方案。线性混合效应模型用于量化辅导对生活质量和自我效能结果的影响。结果辅导干预的依从性良好。虽然听取汇报的参与者表示会向他人推荐辅导,但没有观察到辅导对生活质量和自我效能等主要结果的影响。患者和护理人员对辅导效果的反思超出了预先设定的研究结果和为衡量效果而采取的措施的范围。
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引用次数: 0
How to break the news in amyotrophic lateral sclerosis/motor neuron disease: practical guidelines from experts 如何发布肌萎缩侧索硬化症/运动神经元疾病的消息:专家提供的实用指南
IF 2.8 4区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2024-09-11 DOI: 10.1080/21678421.2024.2397517
Colleen O’Connell, Melinda S. Kavanaugh, Cathy Cummings, Angela Genge
In amyotrophic lateral sclerosis/motor neuron disease (ALS/MND), it is necessary to communicate difficult news during the initial diagnosis and throughout the disease trajectory as the condition pr...
在肌萎缩性脊髓侧索硬化症/运动神经元疾病(ALS/MND)中,有必要在最初诊断和整个疾病过程中传达一些困难的消息,因为病情会不断加重。
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引用次数: 0
Acceptability and potential benefit of a self-compassion intervention for people living with amyotrophic lateral sclerosis: a mixed methods pilot study. 对肌萎缩性脊髓侧索硬化症患者进行自我同情干预的可接受性和潜在益处:一项混合方法试点研究。
IF 2.8 4区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2024-09-11 DOI: 10.1080/21678421.2024.2400516
Marion Sommers-Spijkerman,Aimée Zwarts-Engelbert,Esther Kruitwagen-Van Reenen,Ruben P A Van Eijk,Johanna M A Visser-Meily,Emmy Heijmans,Judith Austin,Constance Drossaert,Ernst Bohlmeijer,Anita Beelen
Objective: This proof-of-concept study aimed to explore the acceptability and potential benefit of a self-guided online self-compassion intervention to aid resilient coping and reduce emotional distress among patients and caregivers living with ALS. Methods: A single-arm pilot study was conducted in 20 adults living with ALS either as a patient or as a caregiver. Acceptability was examined using questionnaires (n = 20) and semi-structured interviews (n = 9). Potential benefit was assessed as changes in self-compassion, self-criticism and emotional distress, determined using psychological questionnaires at 3 and 6 weeks. Questionnaires were analyzed using linear mixed-effects models and interview data using inductive thematic analysis. Results: Out of 20 participants who started the intervention, 16 completed the study (80%). The majority of study completers (12/16) were satisfied with the intervention, but the data suggest room for improvement in terms of personalization. Qualitative data revealed multiple psychological benefits of using the intervention, including self-kindness, emotional self-awareness and savoring. Although not statistically significant, quantitative data showed positive trends with increased self-compassion (mean difference: 2.07; 95% CI: -.5.76 - 1.63) and reduced self-criticism (mean difference: -2.62; 95% CI: -.1.97 - 7.23) and emotional distress (mean difference: -2.49; 95% CI: -.51 - 5.50) at week 6 compared to baseline. Conclusions: The findings suggest that a self-compassion intervention is acceptable to people living with ALS, but its beneficial effects and the mechanisms involved have yet to be established in larger and more diverse samples, using controlled designs.
研究目的这项概念验证研究旨在探索一种自我指导的在线自我同情干预方法的可接受性和潜在益处,以帮助 ALS 患者和护理人员提高应对能力,减少情绪困扰。研究方法对 20 名 ALS 患者或护理者进行了单臂试点研究。采用问卷调查(20 人)和半结构式访谈(9 人)的方式考察了接受度。评估潜在益处的标准是自我同情、自我批评和情绪困扰方面的变化,分别在 3 周和 6 周时使用心理问卷进行测定。问卷采用线性混合效应模型进行分析,访谈数据采用归纳主题分析法进行分析。结果在开始干预的 20 名参与者中,16 人完成了研究(80%)。大多数完成研究者(12/16)对干预措施表示满意,但数据表明在个性化方面还有改进的余地。定性数据揭示了使用干预措施的多种心理益处,包括自我亲切感、情绪自我意识和品味。尽管没有统计学意义,但定量数据显示出积极的趋势,与基线相比,第 6 周时自我同情增加(平均差异:2.07;95% CI:-.5.76 - 1.63),自我批评减少(平均差异:-2.62;95% CI:-.1.97 - 7.23),情绪困扰减少(平均差异:-2.49;95% CI:-.51 - 5.50)。结论研究结果表明,ALS 患者可以接受自我同情干预,但其有益效果和相关机制还有待通过对照设计,在更大规模和更多样化的样本中加以确定。
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引用次数: 0
A scoping review of the role of managed entry agreements in upcoming drugs for amyotrophic lateral sclerosis: learning from the case of spinal muscular atrophy 关于管理下进入协议在即将上市的肌萎缩性脊髓侧索硬化症药物中的作用的范围审查:从脊髓性肌萎缩症案例中汲取经验
IF 2.8 4区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2024-09-10 DOI: 10.1080/21678421.2024.2400522
Beliu García-Parra, Josep M. Guiu, MÓnica Povedano, Pilar Modamio
Introduction: The therapeutic options for spinal muscular atrophy (SMA) are encouraging. However, there is currently no cure for amyotrophic lateral sclerosis (ALS). The clinical and economic uncer...
导言:脊髓性肌萎缩症(SMA)的治疗方案令人鼓舞。然而,肌萎缩性脊髓侧索硬化症(ALS)目前还无法治愈。临床和经济上的不确定性,是治疗肌萎缩性脊髓侧索硬化症(ALS)的关键。
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引用次数: 0
Cognitive reserve in ALS: the role of occupational skills and requirements ALS 的认知储备:职业技能和要求的作用
IF 2.8 4区 医学 Q2 Medicine Pub Date : 2024-04-09 DOI: 10.1080/21678421.2024.2336113
Emma Rhodes, Sebleh Alfa, Hannah A. Jin, Lauren Massimo, Lauren Elman, Defne Amado, Michael Baer, Colin Quinn, Corey T. McMillan
Amyotrophic Lateral Sclerosis (ALS) is a heterogeneous neurodegenerative condition featuring variable degrees of motor and cognitive impairment. We assessed the impact of specific, empirically deri...
肌萎缩侧索硬化症(ALS)是一种异质性神经退行性疾病,具有不同程度的运动和认知障碍。我们评估了特定的、经验性的、可预测的神经退行性病变的影响。
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引用次数: 0
Case-control study of environmental toxins and risk of amyotrophic lateral sclerosis involving the national ALS registry 环境毒素与肌萎缩性脊髓侧索硬化症风险的病例对照研究,涉及全国肌萎缩性脊髓侧索硬化症登记处
IF 2.8 4区 医学 Q2 Medicine Pub Date : 2024-04-09 DOI: 10.1080/21678421.2024.2336108
Evelyn O. Talbott, Angela M. Malek, Vincent C. Arena, Fan Wu, Kristen Steffes, Ravi K. Sharma, Jeanine Buchanich, Judith R. Rager, Todd Bear, Caroline A. Hoffman, David Lacomis, Chris Donnelly, Jocelyn Mauna, John E. Vena
Objective: Neurotoxic chemicals are suggested in the etiology of amyotrophic lateral sclerosis (ALS). We examined the association of environmental and occupational risk factors including persistent...
目的:神经毒性化学物质被认为是肌萎缩性脊髓侧索硬化症(ALS)的病因。我们研究了环境和职业风险因素与肌萎缩性脊髓侧索硬化症(ALS)病因的关联,其中包括持久性...
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引用次数: 0
Assessing pulmonary function in ALS using electrical impedance tomography 利用电阻抗断层扫描评估 ALS 的肺功能
IF 2.8 4区 医学 Q2 Medicine Pub Date : 2024-04-04 DOI: 10.1080/21678421.2024.2334075
Seward B. Rutkove, Courtney E. McIlduff, Elijah Stommel, Sean Levy, Christy Smith, Hilda Gutierrez, Sarah Verga, Soleil Samaan, Chebet Yator, Ajitesh Nanda, Lisa Pastel, Allaire Doussan, Kathy Phipps, Ethan Murphy, Ryan Halter
Objective: We sought to determine whether thoracic electrical impedance tomography (EIT) could characterize pulmonary function in amyotrophic lateral sclerosis (ALS) patients, including those with ...
研究目的我们试图确定胸廓电阻抗断层扫描(EIT)是否能描述肌萎缩侧索硬化症(ALS)患者的肺功能,包括那些伴有哮喘的患者。
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引用次数: 0
期刊
Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration
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