Hoogenband, S. van den (2017) GRIP op klachten : Gepersonaliseerde zelfhulpbehandeling voor SOLK. thesis, Medicine.
![[img]](https://umcg.studenttheses.ub.rug.nl/style/images/fileicons/text.png) |
Text
HoogenbandvandenS.pdf Restricted to Registered users only Download (2MB) |
Abstract
Introduction Patients with medically unexplained symptoms (MUS) are a frequent encountered problem in family practice. The online system Master your symptoms attempts to resolve this. By identifying individual perpetuating factors and connecting these with self-help exercises, a personalised care plan is made. However, it has never been researched to which degree patients with MUS are receptive to accepting these exercises and to which degree the correlation between the exercises and the perpetuating factors is deemed suitable by therapists. Material and method First, the willingness to accept the self-help exercises was tested with the help of questionnaires. Patients (N=138) were asked to rate the self-help exercises, subdivided into 20 categories, by their usefulness. Subsequently, it was calculated for several subgroups (based on gender, duration of MUS and type of MUS diagnosis (irritable bowel syndrome (IBS), chronic fatigue syndrome (CFS) and fibromyalgia (FM)) whether they differed in their appreciation. Thirdly, the appreciation scores of the patients were compared against those of the psychologists (N=58). A non-parametric Mann-Whitney U test and Kruskall-Wallis test were used. Finally the correlation between the self-help exercises and the perpetuating factors was evaluated by heuristic analysis. Five psychologists and one psychiatrist rated the self-help exercises for six cases on applicability. Results Patients with SOLK valued all advice categories equally. Men valued three advice categories (‘contact with other patients’ (median men 7, women 5 p=0,04), ‘relaxation’ (median men 8, women 5 p=0,03), ‘learning to live with meaning’ (median men 7, women 5 p=0,05)) higher than women. Patients with IBS valued two advice categories (‘dealing with caregivers’ (median IBS 7, FM 5 p=0,01) and ‘contact with other patients’ (median IBS 7, FM 4, p=0,00) higher than patients with FM. Patient with IBS also gave three advice categories (‘developing a balanced lifestyle’ (median IBS 7, CFS 6,5 p=0,01), ‘regulating feeling physical complaints’ (median IBS 6, CFS 1 p=0,01) and ‘recognising non-helpful thoughts’ (median IBS 6, CFS 4,5 p=0,01)) higher than patients with CFS. Psychologists rated every advice category statistically significantly higher than the patients, except two, which they rated equally (‘dealing with caregivers’ (median psychologists 7, patients 7 p=0,52) and ‘contact with other patients’ (median psychologists 7, patients 6 p=0,49)). The heuristic analysis showed that the correlation between self-help exercises and the perpetuating factors was generally deemed valid. Some exercises were advised not to use in their current form. Conclusion The current study has showed that the linking of perpetuating factors of SOLK and self-help exercises is applicable in clinical practice. Because of the discrepancy of appreciation of self-help exercises between psychologists and patients, the self-help exercises must always be presented by a physician who can give further explanations so as to minimise the risk that the patient will not use the self-help exercises.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Dagelijkse begeleider: and Tak, Dr. L. and psychiater, projectmedewerker Grip op klachten and Facultaire begeleider: and Rosmalen, Prof. Dr. J.G.M and projectleider Grip op klachten and Afd. Psychiatrie UMCG |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:55 |
| Last Modified: | 25 Jun 2020 10:55 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/1578 |
Actions (login required)
 |
View Item |