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法国多手残疾人群 EVAL-PLH 队列研究。

The French EVAL-PLH cohort of persons with polyhandicap.

机构信息

EA 3279, CEReSS - Research Centre on Health Services and Quality of Life, Faculté des Sciences Médicale et Paramédicales, Aix Marseille University, 27, Boulevard Jean-Moulin, 13385, Marseille Cedex 05, France.

Fédération des Hôpitaux de Polyhandicap et Multihandicap, San Salvadour Hospital, University Hospital of Paris, 4312 Rte de l'Almanarre, 83400, Hyères, France.

出版信息

Sci Rep. 2022 Jul 22;12(1):12512. doi: 10.1038/s41598-022-16596-3.

DOI:10.1038/s41598-022-16596-3
PMID:35869128
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9305042/
Abstract

Polyhandicap is characterized by a combination of profound intellectual disability and serious motor deficit, resulting in the extreme restriction of autonomy and communication. The aim of the EVAL-PLH (EVALuation PoLyHandicap) study is to identify the impact of socioeconomic, environmental, and epidemiological determinants on the health status of the persons with polyhandicap and the daily lives of their caregivers. EVAL-PLH is a prospective cohort study. The study involved persons with severe polyhandicap (who were cared for at reeducation centers, residential facilities, and one specialized pediatric/neurological department of a university hospital), their familial caregivers and the institutional caregivers. Data collection included sociodemographics, heath status, and psychocomportemental information. Data have been collected at 2 points (2015-2016 and 2020-2021). The French EVAL-PLH cohort is the first cohort study focusing on persons with polyhandicap, their families, and the health care workers caring for them. The sustainability of the device is essential to assist patients, families, clinicians, and health decision-making authorities in the optimization of care management.

摘要

多发性残疾的特点是严重智力残疾和严重运动障碍的结合,导致自主性和沟通能力受到极大限制。EVAL-PLH(评估多发性残疾)研究的目的是确定社会经济、环境和流行病学决定因素对多发性残疾患者的健康状况和他们的照顾者日常生活的影响。EVAL-PLH 是一项前瞻性队列研究。该研究涉及严重多发性残疾的患者(在再教育中心、住所和一家大学附属医院的专门儿科/神经科部门接受护理)、他们的家庭照顾者和机构照顾者。数据收集包括社会人口统计学、健康状况和心理行为信息。数据分两个时间点(2015-2016 年和 2020-2021 年)收集。法国 EVAL-PLH 队列是第一个专注于多发性残疾患者、他们的家庭以及照顾他们的医疗保健工作者的队列研究。该设备的可持续性对于帮助患者、家庭、临床医生和卫生决策机构优化护理管理至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49fa/9307783/c755663faf0a/41598_2022_16596_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49fa/9307783/c755663faf0a/41598_2022_16596_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49fa/9307783/c755663faf0a/41598_2022_16596_Fig1_HTML.jpg

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引用本文的文献

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Front Public Health. 2024 Oct 18;12:1427289. doi: 10.3389/fpubh.2024.1427289. eCollection 2024.
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本文引用的文献

1
Development and initial validation of the polyhandicap severity scale.多残疾严重程度量表的制定与初步验证。
Rev Neurol (Paris). 2021 Jun;177(6):683-689. doi: 10.1016/j.neurol.2020.06.018. Epub 2020 Oct 14.
2
Impact of severe polyhandicap cared for at home on French informal caregivers' burden: a cross-sectional study.居家重度多重残疾照护对法国家庭照顾者负担的影响:一项横断面研究。
BMJ Open. 2020 Feb 2;10(1):e032257. doi: 10.1136/bmjopen-2019-032257.
3
Health issues in polyhandicapped patients according to age: Results of a large French cross-sectional study.
法国严重智障和多重残疾人士的医疗保健管理充分性:一项纵向研究。
BMC Health Serv Res. 2024 Jan 18;24(1):99. doi: 10.1186/s12913-024-10552-9.
多残疾患者的健康问题按年龄分布:一项大型法国横断面研究的结果。
Rev Neurol (Paris). 2020 May;176(5):370-379. doi: 10.1016/j.neurol.2019.10.006. Epub 2020 Jan 17.
4
Health characteristics and health care trajectory of polyhandicaped person before and after 1990.1990 年前后多重残疾者的健康特征和医疗轨迹。
Rev Neurol (Paris). 2020 Jan-Feb;176(1-2):92-99. doi: 10.1016/j.neurol.2019.04.009. Epub 2019 Jun 27.
5
Polyhandicap and aging.多发性残疾与老龄化。
Disabil Health J. 2019 Oct;12(4):657-664. doi: 10.1016/j.dhjo.2019.01.013. Epub 2019 Feb 26.
6
Impact of severe polyhandicap on parents' quality of life: A large French cross-sectional study.严重多重残疾对父母生活质量的影响:一项大型法国横断面研究。
PLoS One. 2019 Feb 4;14(2):e0211640. doi: 10.1371/journal.pone.0211640. eCollection 2019.
7
Adequacy of care management of patients with polyhandicap in the French health system: A study of 782 patients.法国卫生系统中多残疾患者的护理管理充分性:对 782 名患者的研究。
PLoS One. 2018 Jul 6;13(7):e0199986. doi: 10.1371/journal.pone.0199986. eCollection 2018.
8
Impact of caring for patients with severe and complex disabilities on health care workers' quality of life: determinants and specificities.照顾重度和复杂残疾患者对医护人员生活质量的影响:决定因素和特殊性
Dev Med Child Neurol. 2017 Jul;59(7):732-737. doi: 10.1111/dmcn.13428. Epub 2017 Apr 22.
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Nursing staff stress from challenging behaviour of residents with dementia: a concept analysis.痴呆症患者具有挑战性的行为给护理人员带来的压力:一项概念分析
Int Nurs Rev. 2016 Sep;63(3):507-16. doi: 10.1111/inr.12293. Epub 2016 Jul 4.
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Stress Levels of Nurses in Oncology Outpatient Units.肿瘤门诊科室护士的压力水平
Clin J Oncol Nurs. 2016 Apr;20(2):158-64. doi: 10.1188/16.CJON.158-164.