帕金森病患者及其护理伙伴的自我管理教育:临床实践中的准实验病例对照研究

IF 2.1 4区 医学 Q3 CLINICAL NEUROLOGY Parkinson's Disease Pub Date : 2020-04-30 eCollection Date: 2020-01-01 DOI:10.1155/2020/6920943
Carina Hellqvist, Carina Berterö, Nil Dizdar, Märta Sund-Levander, Peter Hagell
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引用次数: 17

摘要

背景:帕金森病是一种神经退行性疾病,对身体和精神都有影响,影响日常生活的许多方面。帕金森氏症患者及其护理伙伴希望得到医疗服务机构的指导,以培养适应长期疾病生活的技能。瑞典国家帕金森学校是一个双重自我管理方案,为帕金森病患者和护理伙伴提供支持。目的:评估参与者报告的瑞典国家帕金森学校的结果。设计:一项采用自我报告问卷的临床护理准实验病例对照研究。参与者。瑞典国家帕金森学校由从事临床护理的卫生保健专业人员开办。该计划的参与者也被要求参与这项研究。招募了一个匹配的对照组来比较研究结果。总共包括92名帕金森病患者和55名护理伙伴。设置。五家瑞典老年和神经病学门诊诊所。方法:收集2015-2017年期间、参加国家帕金森学校之前和之后或标准治疗7周之前和之后的数据。使用通用问卷和帕金森病特定问卷评估结果。描述性统计用于描述基线特征。组间差异采用Mann-Whitney U和Chi2检验,组内差异采用Wilcoxon符号秩检验。结果:帕金森病患者的健康状况、建设性态度和方法、技能和技术获得在干预后均有改善。在护理伙伴中没有发现变化。结论:研究结果表明,瑞典国家帕金森学校可以改善帕金森病患者的健康状况和自我管理,但需要进一步的研究来更好地了解该方案的效果。
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Self-Management Education for Persons with Parkinson's Disease and Their Care Partners: A Quasi-Experimental Case-Control Study in Clinical Practice.

Background: Parkinson's disease is a neurodegenerative condition with both physical and mental consequences that affect many aspects of everyday life. Persons with Parkinson's disease and their care partners want guidance from healthcare services in order to develop skills to adjust to life with a long-term condition. The Swedish National Parkinson School is a dyadic self-management programme to support both persons with Parkinson's disease and care partners.

Objective: To assess the outcomes of the Swedish National Parkinson School as reported by participants.

Design: A quasi-experimental case-control study in clinical care using self-reported questionnaires. Participants. Swedish National Parkinson School was offered by health care professionals working in clinical care. Participants in the programme were also asked to participate in the study. A matched control group was recruited for a comparison of findings. In total, 92 persons with Parkinson's disease and 55 care partners were included. Settings. Five Swedish geriatric and neurologic outpatient clinics.

Method: Data were collected during 2015-2017, before and after participation in the National Parkinson School or before and after seven weeks of standard care. Outcomes were assessed using generic and Parkinson's specific questionnaires. Descriptive statistics were used to describe baseline characteristics. Mann-Whitney U and Chi2 tests were used to test for between-group differences and within-group differences were tested by the Wilcoxon signed-ranks test.

Results: Improvements regarding health status, constructive attitudes and approaches, and skill and technique acquisition were found after the intervention among persons with Parkinson's disease. No changes were found among care partners.

Conclusion: The findings indicate that the Swedish National Parkinson School may improve health status and self-management among persons with Parkinson's disease, but further studies are needed to better understand the effects of the programme.

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来源期刊
Parkinson's Disease
Parkinson's Disease CLINICAL NEUROLOGY-
CiteScore
5.80
自引率
3.10%
发文量
0
审稿时长
18 weeks
期刊介绍: Parkinson’s Disease is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies related to the epidemiology, etiology, pathogenesis, genetics, cellular, molecular and neurophysiology, as well as the diagnosis and treatment of Parkinson’s disease.
期刊最新文献
Effectiveness and Feasibility of Nonpharmacological Interventions for People With Parkinson's Disease and Cognitive Impairment on Patient-Centred Outcomes: Systematic Review and Meta-Analysis. Validation and Psychometric Properties of the Spanish Version of King's Parkinson's Disease Pain Scale. A Cognitive-Behavioral Model of Apathy in Parkinson's Disease. Possible Implications of Managing Alexithymia on Quality of Life in Parkinson's Disease: A Systematic Review. Implications of Convolutional Neural Network for Brain MRI Image Classification to Identify Alzheimer's Disease.
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