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理解和改善帕金森病患者及其家庭照顾者应对方式的核心要素:一项焦点小组研究。

Core elements to understand and improve coping with Parkinson's disease in patients and family carers: A focus group study.

机构信息

Faculty of Nursing, University of Navarre, Pamplona, Navarre, Spain.

Faculty of Law and Social Sciences, University of La Rioja, Logroño, La Rioja, Spain.

出版信息

J Adv Nurs. 2017 Nov;73(11):2609-2621. doi: 10.1111/jan.13335. Epub 2017 Jun 9.

Abstract

AIMS

The aim of this study were: (1) To explore the meaning that coping with Parkinson's disease has for patients and family carers; (2) To suggest the components of an intervention focused on enhancing their coping with the disease.

BACKGROUND

Adapting to Parkinson's disease involves going through many difficult changes; however, it may improve quality of life in patients and family carers. One of the key aspects for facilitating the psychosocial adjustment to Parkinson's disease is the strengthening of coping skills.

DESIGN

A sequential explanatory mixed methods study was carried out. Findings from the qualitative phase are presented.

METHODS

Data were collected in May 2014 through three focus groups: one of people with Parkinson's disease (n = 9), one of family carers (n = 7) and one of healthcare professionals (n = 5). All focus groups were digitally recorded and transcribed verbatim and content analysis was independently carried out by two researchers.

FINDINGS

The participants coincided in highlighting that coping with Parkinson's disease helped the patient and the family carer in their search for balance; and it implied a transformation in their lives. To aid the process of coping with Parkinson's disease, a multifaceted intervention is proposed.

CONCLUSION

Coping with Parkinson's disease is a complex process for both patients and family carers and it should therefore be considered a standard service in healthcare policies aimed at this group. The proposed intervention constitutes a nursing tool which has great potential to improve the quality of life in Parkinson's disease and in other long-term conditions.

摘要

目的

本研究旨在:(1)探索应对帕金森病对患者和家庭照顾者的意义;(2)提出一项以增强他们应对疾病能力为重点的干预措施的组成部分。

背景

适应帕金森病涉及经历许多困难的变化;然而,它可以改善患者和家庭照顾者的生活质量。促进帕金森病的心理社会适应的关键方面之一是加强应对技能。

设计

进行了一项顺序解释性混合方法研究。呈现定性阶段的结果。

方法

2014 年 5 月通过三个焦点小组收集数据:一个是帕金森病患者(n=9),一个是家庭照顾者(n=7),一个是医疗保健专业人员(n=5)。所有焦点小组都进行了数字录音和逐字转录,并由两名研究人员独立进行内容分析。

结果

参与者一致强调,应对帕金森病有助于患者和家庭照顾者寻找平衡;并意味着他们生活的转变。为了帮助应对帕金森病的过程,提出了一种多方面的干预措施。

结论

应对帕金森病对患者和家庭照顾者来说都是一个复杂的过程,因此应将其视为针对该群体的医疗保健政策的标准服务。所提出的干预措施构成了一种护理工具,具有改善帕金森病和其他长期疾病患者生活质量的巨大潜力。

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