The Role of Parkinson Nurses for Personalizing Care in Parkinson’s Disease: A Systematic Review and Meta-Analysis

Abstract

Background: Quality of life (QoL) of persons with Parkinson’s disease (PD) is diminished by (non-)motor symptoms, that require personalized care. Parkinson Nurses (PN) may be pivotal promoting tailored care offerings. This systematic review and meta-analysis investigates PD care models and aims at furnishing current concepts of PN to offer personalized care. Objective: The purpose of this study is to identify the various roles and functions that PN may hold for personalized PD care. Methods: We performed a systematic literature review, utilizing: PubMed, Web of Science, The Cochrane Library, and PsycINFO. The review qualitatively evaluated articles, which described personalized care models involving PNs and was guided by the personalized care management model. A meta-analysis compared patient-reported QoL (quantified using the 39-item Parkinson’s Disease Questionnaire) between personalized care interventions involving PN versus standard care with. Results: Twenty-seven publications were identified, including six randomized, controlled trials ascertaining with health related QoL (n = 1830 PwPs). The qualitative evaluation revealed that PN contribute to all aspects of personalized care. The meta-analysis showed no improved QoL in personalized care models compared to standard care, thought a great heterogeneity among study design and interventions was outlined (Standardized Mean Difference = –0.8935; 95% Confidence Interval, –2.1177 to 0.3307; z = –1.43, p = 0.1526). Conclusion: PN fulfil important functions in personalized PD care. For the future, a clear role definition will be necessary to adjust training for PN across healthcare systems and care settings but especially to realize their full potential for PD care.

Safety perception in patients with advanced idiopathic Parkinson’s disease – a qualitative study

“…This underscores the usefulness of early collaboration among disciplines and facilitated short-term access to centers with movement disorder expertise for iPD-patients with specialized therapeutic approaches. In addition, in the community specially trained nurses could provide care coordination, patient navigation, and information to complement existing care structures ( van Munster et al, 2022 ). Palliative care services may offer further support to promote safe care for patients with advanced iPD ( Fleisher et al, 2020 ).…”

Parkinson’s Nurses Are Crucial for the Management of Parkinson’s Disease: 2007–2024

“…While the PNS role and nurse training is well established in countries, for example, the USA, Canada, and Germany [27][28][29][30][31], there is poor PNS availability in low and middle income countries [32] with the median number of neurological nurses varying from 0 per 100,000 population for low income countries, including those in Africa, to 5.04 per 100,000 for higher middle-income countries, together with central and eastern Europe [33].…”

Umfassende Versorgung bis zuletzt

“…So haben sich psychosoziale und spirituelle Bereiche als bedeutsam für die Lebensqualität erwiesen, werden aber in krankheitsspezifischen Lebensqualitätsfragebögen nur unzureichend abgebildet. Dies kann zu einer Unter- oder Überschätzung der Lebensqualität führen [ 25 , 26 ]. So sind persönliche Gespräche zu diesem Thema im ärztlichen Alltag unverzichtbar, um individuelle Ressourcen und Barrieren der Lebensqualität zu identifizieren und darauf zu reagieren.…”