The Development and Effects of a Self-management Program for Patients with Parkinson's Disease

파킨슨병 자기관리프로그램의 효과

  • Sohng, Kyeong-Yae (College of Nursing, The Catholic University of Korea) ;
  • Moon, Jung-Soon (College of Nursing, The Catholic University of Korea) ;
  • Lee, Kwang-Soo (Department of Neurology, KangNam St. Mary's Hospital, The Catholic University of Korea) ;
  • Choi, Dong-Won (College of Nursing, The Catholic University of Korea)
  • 송경애 (가톨릭대학교 간호대학) ;
  • 문정순 (가톨릭대학교 간호대학) ;
  • 이광수 (가톨릭대학교 강남성모병원 신경과) ;
  • 최동원 (가톨릭대학교 대학원 간호학과)
  • Published : 2007.10.31

Abstract

Purpose: This study was done to develop and examine the effects of a self-management program(SMP) on physical, psychological functions, and symptoms in patients with Parkinson's disease(PD). Methods: In a two-group pre-and post-test design, a total of 40 patients were assigned to the experimental group(21) or the control group (19). The experimental group received eight weekly 2-hour sessions for 10-15 literate adults of all ages, while the control group did not receive any intervention. Results: The experimental group showed significant improvements in muscle strength, balance, self-efficacy, depression, quality of life(QL), quality of sleep, and discomfort of constipation. It also reduced the number of participants using assistive walking devices. There were no significant changes in fear of falling and duration of sleep. Conclusion: The eight week SMP in patients with PD was found to be significantly effective in enhancing muscle strength, balance, self-efficacy, QL, and quality of sleep. It also decreased depression, discomfort of constipation, and assistive walking devices. These results suggest that a SMP can have effects on physical, psychological functions and symptoms in patients with PD. Further research with a larger sample and for a longer follow up period is needed to expand our understanding of the effects of a SMP for patients with PD.

Keywords

References

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