Contact with a nurse practitioner : a short-term evaluation study in Parkinson's disease and dystonia.
Forty patients with Parkinson's disease and 24 patients with dystonia took part in a study aiming to assess the value of access to and contact with a nurse practitioner over a 6 month period.
Patients a each group were randomly allocated to « intervention » or « control » groups, which were matched on important variables.
All patients completed a set of questionnaires relating to psychosocial function at two time points separated by 6 months.
In the intervening period, those allocated to the « intervention » group received two home visits and five telephone calls from the nurse practitioner.
This contact was not provided to the « control » group.
The nurse practitioner had a major impact on the provision of formation and the facilitation of referral to other health-care agencies.
The results of an independent assessment indicated that the patients in the « intervention » programme had found access to an contact with a nurse practitioner of great value.
In contrast, the results of the questionnaire assessment did not reveal any statistically significant change a psychosocial functioning from the first to second assessment for either the « intervention » or « control » groups.
The lack of change in the questionnaire measures is discussed in terms of possible sampting bias and the duration of intervention and follow-up.
Recommendations are made for future studies, and for the possible provision of clinical services.
Mots-clés Pascal : Relation soignant soigné, Personnel sanitaire, Infirmier, Programme sanitaire, Pratique professionnelle, Modèle, Homme, Dystonie, Muscle strié pathologie, Système nerveux pathologie, Trouble neurologique, Mouvement involontaire, Extrapyramidal syndrome, Parkinson maladie, Système nerveux central pathologie, Encéphale pathologie, Maladie dégénérative
Mots-clés Pascal anglais : Health staff patient relation, Health staff, Nurse, Sanitary program, Professional practice, Models, Human, Dystonia, Striated muscle disease, Nervous system diseases, Neurological disorder, Involuntary movement, Extrapyramidal syndrome, Parkinson disease, Central nervous system disease, Cerebral disorder, Degenerative disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0105988
Code Inist : 002B18H04. Création : 09/06/1995.