Journal of Nursing Theory and Practice

[Changes in Quality of Life in Patients with Parkinson’s Disease following Deep Brain Stimulation (DBS) Surgery]

POLGÁRNÉ Lőrinczi Andrea1, PAPP László2

JUNE 30, 2021

Journal of Nursing Theory and Practice - 2021;34(3)

Journal Article

[The primary objective of our study was to assess the effect of deep brain stimulation (DBS) on subjectively lived quality of life in patients with Parkinson’s disease (PD). Our focus was on postoperative changes in patients’ activities, social relationships, as well as changes observed in drug therapy as a result of stimulation. In our qualitative, phenomenological study, we conducted interviews with PD patients 4–10 months after DBS surgery. The 30-60 minute interviews were conducted between July 1 and December 31, 2020. Patients reported positive changes in daily activities, work ability, sleep quality, mood and medication. No change in cognitive status was identified. After DBS surgery, patients’ quality of life changes in a clear positive direction. To achieve the optimal effect of the intervention, given the complexity of the disease, the basic motive for care should be a holistic approach.]

AFFILIATIONS

  1. Szegedi Tudományegyetem, Szent-Györgyi Albert Klinikai Központ, Idegsebészeti Klinika
  2. Szegedi Tudományegyetem, Szent-Györgyi Albert Klinikai Központ, Sürgősségi Betegellátó Osztály

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[In this publication we will represent the SWOT-analysis and abilities of the social residential institutes in terms of safety measures and strategies, against the current pandemic situation caused by the Covid-19 outbreak. Our analysis involves the retirement homes and other caretaking facilities in Szabolcs-Szatmár-Bereg County. The data was acquired through anonym only surveys. We will introduce new challenges and task in the daily life of the retirement homes, furthermore we will provide advice and references to these institutes to help them create their own epidemiological protocols and to measure their own preparedness from a professional viewpoint. The aim of study: The goal of our examination was to assess the entire Szabolcs-Szatmár-Bereg County, which by we can gain insight into the situation of the retirement homes during the current pandemic period in the whole county. In Szabolcs-Szatmár-Bereg County there are 97 active retirement homes and caretaking facilities, the leaders of the facilities were asked to fill out an anonymous online survey. Based on the received data, we formed our opinion and draw conclusions. Based on the aspects of the SWOT-analysis used in the research and after the analysis of the results, we can state that the epidemiological experience, knowledge and expertise of the people working in health care show an insufficient picture. Many institutions have faced unresolved labour challenges and challenges, the difficulty of converting living quarters for isolation, and the general unpreparedness to deal with a viral situation of this caliber. The ban on visits to prevent the spread of the virus has also made it more difficult to care for those in need of special care, and in several cases, the attitude of relatives hindered the work of the institutions. Fortunately, in addition to the difficulties that arise, some positive changes should be also highlighted, such as the conscientious approach to the task of forging a team of employees. As a consequence, we can conclude that in the analysis we obtained and evaluated the serious difficulties in relation to the problems of the institutions, there are some options as solution to these. Possible solutions include further training, institution-specific guidelines, development and application of protocols in epidemic situations, support for crisis management and crisis communication within institutions. In the heightened situation, the acquisition of appropriate communication techniques to reassure relatives and patients are essential tools for the solution. Central guidance, monitoring and support are also needed to make all of these options a reality.]

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Journal of Nursing Theory and Practice

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