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信息如何影响帕金森病患者:文献综述

How Information Affects Patients with Parkinson's Disease: A Scoping Review of the Literature.

机构信息

Neurology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.

Amsterdam Neuroscience, Neurodegeneration, Amsterdam, The Netherlands.

出版信息

J Parkinsons Dis. 2024;14(6):1115-1127. doi: 10.3233/JPD-240073.

Abstract

BACKGROUND

Patients with Parkinson's disease (PD) need to receive adequate information to manage their disease. However, little is known about how information provision affects patients.

OBJECTIVE

To conduct a scoping review of the literature on the relationship between content, timing, manner of delivery, and source of PD-specific information on the one hand, and patient outcomes on the other.

METHODS

All literature reporting about original data and published until April 2024 in peer-reviewed journals was searched in MEDLINE (Ovid), Embase (Ovid) and PsychInfo (Ovid). Subsequently, data were extracted and synthesized.

RESULTS

40 publications describing the effects of information provision or patients' evaluation thereof were retrieved. Four categories of patient outcomes were described, namely 1) evaluation and experience of information provision; 2) physical functioning; 3) psychosocial well-being; and 4) quality of life. In intervention studies, patients generally valued the provided information. Findings from cross-sectional and qualitative studies showed the importance of tailoring information to individuals' needs and capabilities. Due to variation in study designs and outcomes, no unambiguous conclusions could be drawn regarding the relationship between information and outcomes.

CONCLUSIONS

This scoping review identified how PD patients acquire information and revealed a lack of systematic research into the effect of information on patient outcomes. Future studies should assess 1) what information is currently provided by clinicians; 2) what additional information might be beneficial to provide; and 3) how information can be effectively aligned to benefit patients. This will eventually yield insight into how information might optimally empower PD patients.

摘要

背景

帕金森病(PD)患者需要获得足够的信息来管理他们的疾病。然而,关于信息提供如何影响患者的情况,我们知之甚少。

目的

对关于 PD 特定信息的内容、时间、传递方式和来源与患者结局之间关系的文献进行范围综述。

方法

在 MEDLINE(Ovid)、Embase(Ovid)和 PsychInfo(Ovid)中搜索所有报告原始数据并在同行评审期刊上发表至 2024 年 4 月的文献。随后,提取和综合数据。

结果

共检索到 40 篇描述信息提供影响或患者对其评价的文献。描述了四类患者结局,分别为 1)信息提供的评价和体验;2)身体功能;3)心理社会福祉;和 4)生活质量。在干预研究中,患者普遍重视所提供的信息。横断面研究和定性研究的结果表明,信息需要根据个体的需求和能力进行调整。由于研究设计和结局的差异,无法对信息与结局之间的关系得出明确的结论。

结论

本范围综述确定了 PD 患者如何获取信息,并揭示了系统研究信息对患者结局影响的不足。未来的研究应评估 1)临床医生目前提供的信息;2)提供哪些额外的信息可能有益;以及 3)如何有效地调整信息以造福患者。这将最终深入了解信息如何以最佳方式为 PD 患者赋能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d29/11380222/bfd2ab511317/jpd-14-jpd240073-g001.jpg

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