{"title":"护士主导的干预对帕金森病患者跌倒次数和残疾接受程度的影响","authors":"Yanli Cheng, Zishuang Liu, Na Zhang","doi":"10.1007/s00508-025-02518-6","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Falling is one of the possible complications of Parkinson's disease (PD). Also, Parkinson's patients become disabled due to the gradual progression of the disease; however, acceptance of the disability (AOD) can help in managing the illness. The aim of this study was to evaluate the effect of a nurse-led intervention on the prevention of falls and AOD in patients with PD.</p><p><strong>Methods: </strong>In this study 240 patients over 60 years of age were selected from specialized clinics and randomly divided into 2 experimental and control groups. Both groups received their usual care; however, the experimental group also received a separate nurse-led intervention twice a month for 6 months. The number of falls and the AOD were measured (using a modified Chinese version of the AOD scale).</p><p><strong>Results: </strong>During the 6‑month follow-up, falls in the control group were more than the experimental group (165 vs. 92 falls). The AOD of the experimental group had increased significantly in the postintervention period and the 6‑month follow-up compared to the preintervention (from 60.4 ± 19.25 preintervention to 65.125 ± 18.52 postintervention and 65.433 ± 18.30 in follow-up, p < 0.05). Also, the AOD of the experimental group was significantly higher than the control group in the two time periods of postintervention and follow-up (postintervention: 65.125 ± 18.52 in experimental group and 58.78 ± 19.32 in control group; follow up: 65.433 ± 18.30 in experimental group and 57.52 ± 18.97 in control group, p < 0.05).</p><p><strong>Conclusion: </strong>The nurse-led intervention can be an effective noninvasive method to reduce the number of falls and increase the AOD in patients with PD.</p>","PeriodicalId":23861,"journal":{"name":"Wiener Klinische Wochenschrift","volume":" ","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The effect of a nurse-led intervention on number of falls and acceptance of disability in patients with Parkinson's disease.\",\"authors\":\"Yanli Cheng, Zishuang Liu, Na Zhang\",\"doi\":\"10.1007/s00508-025-02518-6\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Falling is one of the possible complications of Parkinson's disease (PD). Also, Parkinson's patients become disabled due to the gradual progression of the disease; however, acceptance of the disability (AOD) can help in managing the illness. The aim of this study was to evaluate the effect of a nurse-led intervention on the prevention of falls and AOD in patients with PD.</p><p><strong>Methods: </strong>In this study 240 patients over 60 years of age were selected from specialized clinics and randomly divided into 2 experimental and control groups. Both groups received their usual care; however, the experimental group also received a separate nurse-led intervention twice a month for 6 months. The number of falls and the AOD were measured (using a modified Chinese version of the AOD scale).</p><p><strong>Results: </strong>During the 6‑month follow-up, falls in the control group were more than the experimental group (165 vs. 92 falls). The AOD of the experimental group had increased significantly in the postintervention period and the 6‑month follow-up compared to the preintervention (from 60.4 ± 19.25 preintervention to 65.125 ± 18.52 postintervention and 65.433 ± 18.30 in follow-up, p < 0.05). Also, the AOD of the experimental group was significantly higher than the control group in the two time periods of postintervention and follow-up (postintervention: 65.125 ± 18.52 in experimental group and 58.78 ± 19.32 in control group; follow up: 65.433 ± 18.30 in experimental group and 57.52 ± 18.97 in control group, p < 0.05).</p><p><strong>Conclusion: </strong>The nurse-led intervention can be an effective noninvasive method to reduce the number of falls and increase the AOD in patients with PD.</p>\",\"PeriodicalId\":23861,\"journal\":{\"name\":\"Wiener Klinische Wochenschrift\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2025-03-05\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Wiener Klinische Wochenschrift\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s00508-025-02518-6\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Wiener Klinische Wochenschrift","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00508-025-02518-6","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
The effect of a nurse-led intervention on number of falls and acceptance of disability in patients with Parkinson's disease.
Background: Falling is one of the possible complications of Parkinson's disease (PD). Also, Parkinson's patients become disabled due to the gradual progression of the disease; however, acceptance of the disability (AOD) can help in managing the illness. The aim of this study was to evaluate the effect of a nurse-led intervention on the prevention of falls and AOD in patients with PD.
Methods: In this study 240 patients over 60 years of age were selected from specialized clinics and randomly divided into 2 experimental and control groups. Both groups received their usual care; however, the experimental group also received a separate nurse-led intervention twice a month for 6 months. The number of falls and the AOD were measured (using a modified Chinese version of the AOD scale).
Results: During the 6‑month follow-up, falls in the control group were more than the experimental group (165 vs. 92 falls). The AOD of the experimental group had increased significantly in the postintervention period and the 6‑month follow-up compared to the preintervention (from 60.4 ± 19.25 preintervention to 65.125 ± 18.52 postintervention and 65.433 ± 18.30 in follow-up, p < 0.05). Also, the AOD of the experimental group was significantly higher than the control group in the two time periods of postintervention and follow-up (postintervention: 65.125 ± 18.52 in experimental group and 58.78 ± 19.32 in control group; follow up: 65.433 ± 18.30 in experimental group and 57.52 ± 18.97 in control group, p < 0.05).
Conclusion: The nurse-led intervention can be an effective noninvasive method to reduce the number of falls and increase the AOD in patients with PD.
期刊介绍：
The Wiener klinische Wochenschrift - The Central European Journal of Medicine - is an international scientific medical journal covering the entire spectrum of clinical medicine and related areas such as ethics in medicine, public health and the history of medicine. In addition to original articles, the Journal features editorials and leading articles on newly emerging topics, review articles, case reports and a broad range of special articles. Experimental material will be considered for publication if it is directly relevant to clinical medicine. The number of international contributions has been steadily increasing. Consequently, the international reputation of the journal has grown in the past several years. Founded in 1888, the Wiener klinische Wochenschrift - The Central European Journal of Medicine - is certainly one of the most prestigious medical journals in the world and takes pride in having been the first publisher of landmarks in medicine.
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