DGRW-Update: Patientenschulung

Abstract

Patient education programmes, i. e. standardized, manualized, interactive group programmes aiming to increase self-management and empowerment, are a core element of medical rehabilitation for chronic conditions. In an update of the evidence of the effectiveness of patient education, its effectiveness was proven for a broad spectrum of chronic disorders, such as diabetes mellitus, chronic low back pain, rheumatoid arthritis, coronary heart disease, chronic heart failure, bronchial asthma, COPD, and cancer, as well as for the modification of health behaviours, such as diet and exercise. To sustain effects, aftercare interventions, such as support provided by phone, were found to be successful. Interventions targeted to particular patient groups according to gender, age, or migration background are also being developed more frequently. When evaluating educational interventions not only distal outcomes, such as quality of life and participation, should be used but also proximal outcomes such as self-management skills. A recent survey of patient education practice in medical rehabilitation revealed a continuing potential for optimization relative to manualization, evaluation and didactics. However, the dissemination of innovative programmes into rehabilitation routine presents a major challenge.

Individual prevention courses for occupational skin diseases: changes in and relationships between proximal and distal outcomes

“…quality of life) can be positively influenced by promoting proximal outcomes (e.g. self‐management skills) . For example, Wulfhorst et al.…”

Von der onkologischen Reha-Klinik an den Wohnort – Schnittstellenanalyse unter Berücksichtigung der Bewegungsangebote

“…Dabei müssen die Rehabilitationskliniken eine tragende Rolle in der Informationsvermittlung spielen, wie z. B. über innovative Patienten-Schulungskonzepte [16]. Wie werden die Patienten in der onkologischen Rehabilitationsklinik also informiert bzw.…”

Debora: Akzeptanz und Machbarkeit eines Schmerzkompetenz- und Depressionspräventionstrainings in der VMO

“…Durch eine bessere Kooperation in den Kliniken könnten ungünstige strukturelle und organisatorische Rahmenbedingungen vermieden und die Zufriedenheit erhöht werden [28]. Die hier dargestellten Studienergebnisse spiegeln somit auch die aktuelle Herausforderung bei der Implementierung von Patientenschulungsprogrammen in die Klinikroutine wider [29]. Die Forderung der Experten nach inhaltlichen Vertiefungen der Verarbeitung arbeitsbezogener Stressoren entspricht den zunehmenden Belastungen in der Arbeitswelt [30] und den Forderungen aus der Literatur nach integrierten berufsbezogenen Behandlungselementen [31].…”