Feasibility and Impact of a Function Focused Care Intervention for Parkinson's Disease in the Community
Feasibility and Impact of a Function Focused Care Intervention for Parkinson's Disease in the Community
复制标题
社区帕金森病功能集中护理干预的可行性和影响
作者：
Ingrid Pretzer;E. Galik;B. Resnick
背景：帕金森氏病（PD）导致进行性功能丧失，因此家庭照顾者为生活在家庭环境中的PD患者提供了很大比例的个人护理。目的：本研究的目的是测试功能为重点的PD护理（FFC-PD）的可行性和影响，以优化生活在社区的PD患者的功能和身体活动。方法：本初步研究是一项单组、2个前测、3个后测的重复测量设计，旨在调查FFC-PD干预在12个月内的影响。测量包括自我效能和运动和功能活动的结果预期，耶鲁体育活动量表，统一帕金森病评定量表，Barthel指数，Schwab & England，定时椅子上升，帕金森病问卷-39和老年抑郁量表。结果：FFC-PD对PD患者的影响显示，运动的结果预期在统计学上显著增加，F（3，60）= 3.09，p = 0.034;每周运动时间，F（1，24）= 4.95，p = 0.004;平均每周能量消耗，F（2，43）= 4.32，p = 0.017;总体活动时间，F（3，60）= 6.06，p = 0.001;基于统一帕金森病评定量表的残疾降低，F（2，40）= 9.48，p <0.001;改善帕金森病问卷-39评分，F（3，60）= 3.81，p = 0.014; Barthel指数有显著性趋势，F（1.6，31）= 3.47，p = 0.055。讨论：以功能为中心的PD护理对增加和加强与运动、运动时间和体力活动相关的结局预期以及改善PD患者的功能表现具有显著影响。需要进一步的研究来探索功能表现和活动的客观测量的使用，并在随机对照试验中测试FFC-PD。
Background:Parkinson's disease (PD) results in a progressive loss of function such that family caregivers provide a large percentage of the personal care to PD patients living in the home setting. Objectives:The aim of this study was to test the feasibility and impact of function-focused care for PD (FFC-PD) developed to optimize function and physical activity among people with PD who live in the community. Methods:This pilot study was a single-group, 2 pretest, 3 posttest repeated-measures design to investigate the impact of the FFC-PD intervention over a 12-month period. Measurements included the Self-Efficacy and Outcome Expectations for Exercise and Functional Activities, Yale Physical Activity Scale, Unified Parkinson's Disease Rating Scale, Barthel Index, Schwab & England, Timed Chair Rise, Parkinson's Disease Questionnaire-39, and Geriatric Depression Scale. Results:The impact of FFC-PD on a person with PD showed a statistically significant increase in outcome expectations for exercise, F(3, 60) = 3.09, p = .034; hours a week exercising, F(1, 24) = 4.95, p = .004; mean weekly energy expenditure, F(2,43) = 4.32, p = .017; hours spent in overall activities, F(3, 60) = 6.06, p = .001; decreased disability based on the Unified Parkinson's Disease Rating Scale, F(2, 40) = 9.48, p < .001; improved Parkinson's Disease Questionnaire-39 score, F(3, 60) = 3.81, p = .014; and a trend toward significance on Barthel Index, F(1.6, 31) = 3.47, p = .055. Discussion:Function-focused care for PD has a significant effect on increasing and on strengthening outcome expectations related to exercise, time spent in exercise, and physical activity and in improving functional performance in people with PD. Further research is needed to explore the use of objective measurements of functional performance and activity and to test FFC-PD in a randomized controlled trial.
一项评估老年人体力活动的调查。
影响因子：
4.1
作者：
Dipietro,L;Caspersen,CJ;Ostfeld,AM;Nadel,ER
通讯作者：
Nadel,ER
影响因子：
4.2
作者：
Bellg, AJ;Borrelli, B;Czajkowski, S
通讯作者：
Czajkowski, S