Core elements to understand and improve coping with Parkinson's disease in patients and family carers: A focus group study

J Adv Nurs. 2017 Nov;73(11):2609-2621. doi: 10.1111/jan.13335. Epub 2017 Jun 9.

Abstract

Aims: The aim of this study were: (1) To explore the meaning that coping with Parkinson's disease has for patients and family carers; (2) To suggest the components of an intervention focused on enhancing their coping with the disease.

Background: Adapting to Parkinson's disease involves going through many difficult changes; however, it may improve quality of life in patients and family carers. One of the key aspects for facilitating the psychosocial adjustment to Parkinson's disease is the strengthening of coping skills.

Design: A sequential explanatory mixed methods study was carried out. Findings from the qualitative phase are presented.

Methods: Data were collected in May 2014 through three focus groups: one of people with Parkinson's disease (n = 9), one of family carers (n = 7) and one of healthcare professionals (n = 5). All focus groups were digitally recorded and transcribed verbatim and content analysis was independently carried out by two researchers.

Findings: The participants coincided in highlighting that coping with Parkinson's disease helped the patient and the family carer in their search for balance; and it implied a transformation in their lives. To aid the process of coping with Parkinson's disease, a multifaceted intervention is proposed.

Conclusion: Coping with Parkinson's disease is a complex process for both patients and family carers and it should therefore be considered a standard service in healthcare policies aimed at this group. The proposed intervention constitutes a nursing tool which has great potential to improve the quality of life in Parkinson's disease and in other long-term conditions.

Keywords: Parkinson's disease; coping; family carers; focus groups; long-term condition; non-pharmacological intervention; nursing; psychosocial adjustment; quality of life.

MeSH terms

  • Adaptation, Psychological*
  • Caregivers / psychology*
  • Focus Groups
  • Humans
  • Parkinson Disease / nursing
  • Parkinson Disease / psychology*