Parkinson's Disease
Conditions
Keywords
Patients, Nursing, Parkinsons disease, Deep Brain Stimulation, Spouses
Brief summary
Parkinson's disease is a chronic progressive neurological disorder. Symptoms are tremor, slowness in movement, rigidity and postural instability. As the disease progresses and treatment with L-dopa is no longer sufficient, some patients may be treated with deep brain stimulation. When treated with deep brain stimulation, electrodes are inserted in the affected area of the brain and through stimulation, motor symptoms of Parkinson's disease are significantly reduced. During the first year of DBS treatment patients and spouses may experience changes in everyday life and illness trajectory posing new opportunities as well as new challenges. The purpose of the study is to develop an individualised and targeted nursing program to support patients and relatives manage changes and challenges in life the first three months after Deep Brain Stimulation. The intervention is expected to generate important knowledge that will serve as a foundation for the further development of a future nursing program.
Detailed description
The intervention is designed as a psychosocial intervention, targeted both patients and spouses. The intervention consists of individually targeted meetings with a specialized DBS nurse several times during the first six months og DBS. Patients and spouses likewise have to fill out a diary for use in the meetings. All meetings have specific topics, addressing aspects of challenges in adjusting to DBS, and the aim is to off patients and spouses a tailored intervention, supporting each individual based on an individual assessment.
Interventions
OTHERA psycho-social intervention
Sponsors
Aarhus University Hospital
University of Aarhus
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* eligible and offered treatment with DBS for PD * married or cohabitant
Exclusion criteria
* living alone
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in sense of Coherence in intervention group compared to control group | Baseline, 6 months, 12 months | Questionnaire |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of life | Baseline, 6 months, 12 months | PDQ 39 or PDQ Carer |
Other
| Measure | Time frame | Description |
|---|---|---|
| Qualitative interviews | 12 months | Patients and spouses experience of participating in the intervention. Perceived use of knowledge gained |
Countries
Denmark
Outcome results
None listed