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Qualitative Outcomes in CME/CPD: Exploring Non-Linear Contexts and Lived Experiences in Patient-Directed Interventions.继续医学教育/持续专业发展中的质性结果:探索以患者为导向干预中的非线性情境和生活经历。
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本文引用的文献

1
Association of Pseudobulbar Affect symptoms with quality of life and healthcare costs in Veterans with traumatic brain injury.
J Affect Disord. 2016 Jan 15;190:150-155. doi: 10.1016/j.jad.2015.10.003. Epub 2015 Oct 23.
2
Self-management support interventions to reduce health care utilisation without compromising outcomes: a systematic review and meta-analysis.在不影响治疗效果的前提下减少医疗保健利用的自我管理支持干预措施:一项系统评价和荟萃分析。
BMC Health Serv Res. 2014 Aug 27;14:356. doi: 10.1186/1472-6963-14-356.
3
Pseudobulbar affect: prevalence and management.假性球麻痹:患病率与管理
Ther Clin Risk Manag. 2013;9:483-9. doi: 10.2147/TCRM.S53906. Epub 2013 Nov 29.
4
PRISM: a novel research tool to assess the prevalence of pseudobulbar affect symptoms across neurological conditions.PRISM:一种评估神经疾病中假性延髓情绪症状患病率的新研究工具。
PLoS One. 2013 Aug 21;8(8):e72232. doi: 10.1371/journal.pone.0072232. eCollection 2013.
5
Pseudobulbar affect: burden of illness in the USA.假性延髓情绪障碍:美国的疾病负担。
Adv Ther. 2012 Sep;29(9):775-98. doi: 10.1007/s12325-012-0043-7. Epub 2012 Aug 30.
6
Pseudobulbar affect: an under-recognized and under-treated neurological disorder.假性延髓情绪:一种未被充分认识和治疗的神经疾病。
Adv Ther. 2011 Jul;28(7):586-601. doi: 10.1007/s12325-011-0031-3. Epub 2011 Jun 6.
7
Pseudobulbar affect: the spectrum of clinical presentations, etiologies and treatments.假性延髓情绪:临床表型、病因和治疗的范围。
Expert Rev Neurother. 2011 Jul;11(7):1077-88. doi: 10.1586/ern.11.68. Epub 2011 May 3.
8
Practice parameter update: the care of the patient with amyotrophic lateral sclerosis: multidisciplinary care, symptom management, and cognitive/behavioral impairment (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology.实践参数更新:肌萎缩侧索硬化症患者的护理:多学科护理、症状管理及认知/行为障碍(循证综述):美国神经病学学会质量标准小组委员会报告
Neurology. 2009 Oct 13;73(15):1227-33. doi: 10.1212/WNL.0b013e3181bc01a4.
9
A real reason for patients with pseudobulbar affect to smile.假性球麻痹患者微笑的一个真正原因。
Ann Neurol. 2007 Feb;61(2):92-6. doi: 10.1002/ana.21056.
10
Qualitative research in health care. Analysing qualitative data.医疗保健中的定性研究。分析定性数据。
BMJ. 2000 Jan 8;320(7227):114-6. doi: 10.1136/bmj.320.7227.114.

与假球麻痹情感负担共存:教育对患者体验影响的质性分析。

Living With the Burden of Pseudobulbar Affect: A Qualitative Analysis of the Effects of Education on Patient Experience.

作者信息

Turell Wendy, Roc Anne, Pioro Erik, Howson Alexandra

机构信息

CME Outcomes and Analytics, PlatformQ Health Education, Needham, MA, USA.

Medical Education and Strategy, PlatformQ Health Education, Needham, MA, USA.

出版信息

J Patient Exp. 2020 Dec;7(6):1324-1330. doi: 10.1177/2374373519899597. Epub 2020 Mar 2.

DOI:10.1177/2374373519899597
PMID:33457582
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7786644/
Abstract

Pseudobulbar affect (PBA) is associated with several neurological diseases and is underrecognized in clinical practice; however, PBA symptoms are often attributed to psychiatric or mood disorders rather than to neurological etiology. Until recently, there were no US Food and Drug Administration therapies approved for treating this condition, and there are currently few resources to support patients in the recognition and self-management of PBA symptoms. We evaluated the impact of a virtual education symposium on patient knowledge and self-efficacy via qualitative interviews. This evaluation of education impact provides unique insight into the experience of managing PBA symptoms; suggests that there is extensive need for educational resources to support patients with PBA and enable them to engage effectively with their providers; and affirms that online learning is an effective mechanism for delivering education to patients that enables them to more effectively self-manage symptoms in the context of chronic neurological conditions such as PBA.

摘要

假性球麻痹(PBA)与多种神经系统疾病相关,在临床实践中未得到充分认识;然而,PBA症状通常归因于精神或情绪障碍,而非神经病因。直到最近,美国食品药品监督管理局仍未批准用于治疗这种疾病的疗法,目前也几乎没有资源支持患者认识和自我管理PBA症状。我们通过定性访谈评估了虚拟教育研讨会对患者知识和自我效能的影响。这种对教育影响的评估为管理PBA症状的经验提供了独特见解;表明迫切需要教育资源来支持PBA患者,并使他们能够与医疗服务提供者有效互动;并确认在线学习是向患者提供教育的有效机制,使他们能够在诸如PBA等慢性神经系统疾病的背景下更有效地自我管理症状。