脑卒中后妄和康复环境的挑战:一个叙事回顾
Aaron Jason Bilek1, Denyse Richardson2
1Geriatric Rehabilitation Department, Tel Aviv Sourasky Medical Centre, Tel Aviv, Israel.
概括
脑卒中后妄 (PSD) 影响了25%的中风幸存者,对康复产生了负面影响. 早期识别和管理对于改善这种具有挑战性的条件的结果至关重要.
科学领域:
- 神经学 神经学
- 老年病的医生 老年病的医生
- 康复医学 康复医学 康复医学
背景情况:
- 脑卒中后妄 (PSD) 是中风的常见并发症,经常被忽视.
- 它对中风康复结果的影响仍未得到充分研究.
研究的目的:
- 审查PSD的关键方面,包括流行病学,诊断和管理.
- 强调在中风康复阶段的具体挑战和考虑.
主要方法:
- 一个叙事审查的奥维德Medline和谷歌学者数据库.
- 到2023年2月进行的搜索,重点是英语成人研究.
主要成果:
- PSD影响大约25%的中风患者,延长住院时间,损害功能和认知恢复.
- 诊断痴呆症是由与中风相关的同时存在的缺陷所复杂化,导致潜在的误诊.
- 多学科团队的参与和解决系统性障碍对于在康复期间有效的PSD管理至关重要.
结论:
- 脑卒中后妄想在康复机构中很普遍,但难以诊断和管理.
- 需要新的查工具和管理策略,适用于康复中风后患者.
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