[神经发育精神病学咨询:国家一级分析]
Joana Costa Alves1, Sofia Morais2, António Ferreira de Macedo2
1Faculdade de Medicina. Universidade de Coimbra. Coimbra. Portugal.
Acta medica portuguesa
|August 23, 2023
概括
有限的成人神经发育障碍诊所和医生培训阻碍了护理的连续性. 改善沟通,协议和多学科团队对于解决这些护理差距至关重要.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 发育儿科 发育儿科
背景情况:
- 神经发育障碍 (NDD) 影响整个生命周期的运动,社会,语言和认知技能.
- 从童年到成年期,对NDD的持续护理至关重要.
- 现有研究表明,NDD患者在获得成人医疗保健方面存在重大障碍.
研究的目的:
- 调查精神病学部门内成人神经发育障碍护理的现状.
- 确定医生在管理过渡到成年期的NDD患者时所面临的挑战.
- 评估对专业成人NDD服务和培训的感知需求.
主要方法:
- 一个全国性的,横截面的,匿名调查分发给精神病医生.
- 该调查于2020年10月6日至12月6日期间进行.
- 从83名精神病医生 (住院医生和专家) 收集了数据.
主要成果:
- 只有16.9%的精神病学部门有专门的神经发育诊所.
- 大多数医生 (72.3%) 每周看到的NDD患者很少或根本没有.
- 诊所往往缺乏多学科团队 (64.3%),患者的转变是很差的协议 (15.7%).
- 显著多数 (88%) 承认需要成人NDD诊所,并报告缺乏足够的专业培训.
结论:
- 在为NDD患者提供成年期持续护理方面存在重大障碍.
- 关键的挑战包括缺乏医生培训,部门间沟通不良以及专业服务不足.
- 建立专门的神经发育障碍诊所,拥有多学科团队和明确的过渡协议是必不可少的.
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