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An observational st...
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Kuzma-Kozakiewicz, Magdalena
(författare)
An observational study on quality of life and preferences to sustain life in locked-in state
- Artikel/kapitelEngelska2019
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Wolters Kluwer,2019
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LIBRIS-ID:oai:DiVA.org:umu-168586
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https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-168586URI
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https://doi.org/10.1212/WNL.0000000000008064DOI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
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Objective: This is an observational study on well-being and end-of-life preferences in patients with amyotrophic lateral sclerosis (ALS) in the locked-in state (LIS) in a Polish sample within the EU Joint Programme-Neurodegenerative Disease Research study NEEDSinALS (NEEDSinALS.com).Methods: In this cross-sectional study, patients with ALS in LIS (n = 19) were interviewed on well-being (quality of life, depression) as a measure of psychosocial adaptation, coping mechanisms, and preferences towards life-sustaining treatments (ventilation, percutaneous endoscopic gastroscopy) and hastened death. Also, clinical data were recorded (ALS Functional Rating Scale-revised version). Standardized questionnaires (Anamnestic Comparative Self-Assessment [ACSA], Schedule for the Evaluation of Individual Quality of Life-Direct Weighting (SEIQoL-DW), ALS Depression Inventory-12 items [ADI-12], schedule of attitudes toward hastened death [SAHD], Motor Neuron Disease Coping Scale) were used, which were digitally transcribed; answers were provided via eye-tracking control. In addition, caregivers were asked to judge patients' well-being.Results: The majority of patients had an ACSA score >0 and a SEIQoL score >50% (indicating positive quality of life) and ADI-12 <29 (indicating no clinically relevant depression). Physical function did not reflect subjective well-being; even more, those with no residual physical function had a positive well-being. All patients would again choose the life-sustaining techniques they currently used and their wish for hastened death was low (SAHD <10). Caregivers significantly underestimated patient's well-being.Interpretation: Some patients with ALS in LIS maintain a high sense of well-being despite severe physical restrictions. They are content with their life-sustaining treatments and have a strong will to live, which both may be underestimated by their families and public opinion.
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Biuppslag (personer, institutioner, konferenser, titlar ...)
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Andersen, Peter M.,1962-Umeå universitet,Klinisk neurovetenskap(Swepub:umu)pean0001
(författare)
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Ciecwierska, Katarzyna
(författare)
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Vázquez, Cynthia
(författare)
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Helczyk, Olga
(författare)
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Loose, Markus
(författare)
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Uttner, Ingo
(författare)
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Ludolph, Albert C.
(författare)
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Lulé, Dorothée
(författare)
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Umeå universitetKlinisk neurovetenskap
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Neurology: Wolters Kluwer93:10, s. E938-E9450028-38781526-632X
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