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功能性体征综合征的管理
Peter Henningsen1, Stephan Zipfel, Wolfgang Herzog
1Department of Psychosomatic Medicine and Psychotherapy, University Hospital, Technical University of Munich, Langerstrasse 3, 81675 Munich, Germany. p.henningsen@tum.de
Lancet (London, England)
|March 21, 2007
概括
功能性体征综合征 (FSS) 的有效管理需要一个阶段性护理方法. 患者积极参与运动和心理治疗等治疗比被动干预对这些复杂的精神病状况更有益.
科学领域:
- 精神病体医学是一种精神病体医学.
- 临床心理学 临床心理学
- 一般的做法一般的做法
背景情况:
- 功能性体征综合征 (FSS) 具有显著的重叠,但缺乏统一的诊断标准,阻碍了跨专业的研究和治疗.
- 目前的治疗研究主要集中在个体综合征上,忽视了FSS的更广泛范围.
研究的目的:
- 根据自2001年以来的系统审查和元分析,审查FSS全方位的管理策略.
- 提出一个分阶段的护理模式,区分简单和复杂的FSS.
- 为管理FSS提供基于证据的建议.
主要方法:
- 自2001年以来出版的FSS治疗研究的系统综述和元分析.
- 对非药物和药物治疗疗效的分析.
- 评估不同的治疗方法 (生物医学,面向器官,认知-人际关系).
主要成果:
- 需要积极参与患者的非药物治疗方法 (例如,运动,心理治疗) 比被动的身体措施更有效.
- 作用于中枢神经系统 (CNS) 的药物表现出比针对外周功能障碍的药物更一致的疗效.
- 结合生物医学,面向器官和认知-人际关系策略的平衡方法是FSS的最佳选择.
结论:
- 建议采取分阶段的护理方法来管理功能性体征综合征,区分不复杂和复杂的病例.
- 积极的,以患者为中心的非药物干预和作用于中枢神经系统的药物是治疗的关键组成部分.
- 解决阳性成分和专注于医生患者关系对于成功的FSS管理至关重要.
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