功能神经障碍患者综合多学科诊所的结果
David D G Palmer1, Mary Gamble2, Matthew Higgins3
1Department of Neurology Capital and Coast District Health Board Wellington New Zealand.
Movement disorders clinical practice
|June 19, 2023
概括
综合多学科治疗显著改善了功能神经障碍 (FND) 患者的生活质量和日常功能. 这种方法有望在医疗保健机构中得到更广泛的实施.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 康复医学 康复医学 康复医学
背景情况:
- 功能神经障碍 (FND) 是一种残疾状况,如果不治疗,预后不好.
- 有效的干预措施对于改善患者的治疗结果和日常功能至关重要.
研究的目的:
- 评估对功能神经障碍 (FND) 的门诊综合多学科干预的有效性.
- 评估试点多学科治疗诊所的FND与运动症状的结果.
主要方法:
- 患者同时接受神经病学,物理治疗,临床心理学和精神病学方面的护理.
- 主要终点:生活质量的变化 (简单表-36).
- 二级终点:工作/社会参与 (WSAS),就业状况,对FND诊断的理解和同意.
主要成果:
- 在7/8 SF-36生活质量领域显著改善 (23-39点的增长).
- 平均WSAS得分下降了一半 (26到13),表明社会和工作功能有所改善.
- 3/12患者的就业状况有所改善;没有人经历过职业状况的恶化.
结论:
- 综合多学科干预与FND患者的生活质量和功能大幅改善有关.
- 这种治疗模式可能适用于非专业医疗中心的治疗.
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