Neurology and Movement Disorders Department, Hopital Roger Salengro, 1, Avenue du Professeur Emile Laine, 59037 Lille, France.
Neurology and Movement Disorders Department, Hopital Roger Salengro, 1, Avenue du Professeur Emile Laine, 59037 Lille, France; INSERM UMR 1171, University of Lille, 1 Place de Verdun, 59045 Lille Cedex, France.
Rev Neurol (Paris). 2021 Nov;177(9):1151-1159. doi: 10.1016/j.neurol.2021.01.020. Epub 2021 Jun 25.
Patient education is essential in Parkinson's disease (PD). However, it is not known which aspects of patient education are associated with an improvement in quality of life (QoL).
To identify factors that predicted an improvement in QoL in PD patients that participate in an education program.
EduPark is a community-hospital patient education program. PD Patients that had participated in the program between September 2013 and March 2017 were retrospectively included. QoL was prospectively evaluated (using the PDQ-8 questionnaire) before and after the patient's participation. We used mixed linear models (adjusted for the initial value of the PDQ-8) to determine socio-demographic and clinical variables that predicted the change in the PDQ-8 score.
A total of 181 patients were included (mean±standard deviation age: 62.9±8.2 years; disease duration: 9.1±5.3 years). 76.7% of the 103 patients having undergone a cognitive evaluation did not display cognitive impairment. We did not identify any factors that predicted the program's impact on the patient's QoL. Participation in the program was associated with a significant decrease (improvement) in the PDQ-8 score (39.4±17.81 before and 35.6±15.9 afterwards, P<0.001).
We did not identify any factors that were predictive of the patient education program's impact on QoL in patients with PD. Participation in the program was associated with a significant improvement in QoL. Our results suggest that Patient Education Programs should be more widely prescribed and developed in the management of PD.
在帕金森病（PD）中，患者教育至关重要。然而，尚不清楚患者教育的哪些方面与生活质量（QoL）的改善有关。
确定参与教育计划的 PD 患者生活质量改善的预测因素。
EduPark 是一项社区-医院患者教育计划。回顾性纳入 2013 年 9 月至 2017 年 3 月期间参加该计划的 PD 患者。在患者参与前后，前瞻性评估（使用 PDQ-8 问卷）生活质量。我们使用混合线性模型（根据 PDQ-8 的初始值进行调整）来确定预测 PDQ-8 评分变化的社会人口统计学和临床变量。
共纳入 181 例患者（平均±标准差年龄：62.9±8.2 岁；病程：9.1±5.3 年）。在 103 例接受认知评估的患者中，76.7%未显示认知障碍。我们没有发现任何可以预测该计划对患者生活质量影响的因素。参与该计划与 PDQ-8 评分的显著降低（改善）相关（参与前为 39.4±17.81，参与后为 35.6±15.9，P<0.001）。
我们没有发现任何可以预测 PD 患者患者教育计划对生活质量影响的因素。参与该计划与生活质量的显著改善相关。我们的结果表明，患者教育计划应在 PD 的管理中更广泛地规定和开发。
