Garabedian Meghan, Perrone Erin, Pileggi Caitlin, Zimmerman Vanessa
Int J MS Care. 2020 May-Jun;22(3):115-121. doi: 10.7224/1537-2073.2018-099. Epub 2019 Oct 8.
Patients newly diagnosed as having multiple sclerosis (MS) face an overwhelming number of questions about how it will affect their lives. Participation in a support group is one way to obtain information and receive support from others. However, existing support groups are often attended by patients with significant disability, resulting in newly diagnosed patients being hesitant to return.
This qualitative pilot study explored perceptions of patients with newly diagnosed MS before and after participation in two monthly meetings. A support group was conducted each month using nursing staff, a physician, and a social worker. Prior to the first meeting, participants were asked to complete a questionnaire with open-ended questions to share their thoughts about how MS may affect their lives. After the two meetings, they were asked to complete the same questionnaire again.
Eight themes were identified: uncertain disease course; insecure future; physical, emotional, and cognitive impacts; effect on relationships with family and/or spouse/significant other; ability to develop future relationship with significant other; impact on career plans; impact on ability to achieve future goals; and impact on ability to care for self and family. Five of six participants who attended both meetings and one of four who attended only the first meeting expressed a change in their perception of how MS may affect their lives.
A support group dedicated exclusively to newly diagnosed patients may provide an opportunity for patients to experience a change in perceptions of MS.
新诊断为多发性硬化症(MS)的患者面临着大量关于该病将如何影响其生活的问题。参加支持小组是获取信息并从他人那里获得支持的一种方式。然而,现有的支持小组往往有很多残疾严重的患者参加,这使得新诊断的患者不愿再次参加。
这项定性的试点研究探讨了新诊断为MS的患者在参加两次月度会议前后的看法。每月利用护理人员、一名医生和一名社会工作者举办一次支持小组活动。在第一次会议之前,要求参与者填写一份带有开放式问题的问卷,以分享他们对MS可能如何影响其生活的想法。在两次会议之后,再次要求他们填写相同的问卷。
确定了八个主题:疾病进程不确定;未来不稳定;身体、情感和认知方面的影响;对与家人和/或配偶/重要他人关系的影响;与重要他人发展未来关系的能力;对职业规划的影响;对实现未来目标能力的影响;以及对自我和家庭照料能力的影响。参加了两次会议的六名参与者中有五名,以及只参加了第一次会议的四名参与者中有一名表示,他们对MS可能如何影响其生活的看法发生了变化。
专门为新诊断患者设立的支持小组可能为患者提供一个机会,使其对MS的看法发生改变。