"在实际疾病和疾病之间的某个地方":从多信息者的角度来看,对诊断功能神经障碍的基础理论研究
Francesca Sireci1, Valentina Moretti2, Francesco Cavallieri1
1Neurology Unit, Neuromotor & Rehabilitation Department, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
功能神经障碍 (FND) 需要综合护理,但患者和专业人士的观点冲突. 从简化主义转向生物心理社会方法对于有凝聚力的FND管理至关重要.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 社会学 社会学 社会学
背景情况:
- 功能神经障碍 (FND) 呈现复杂的感觉运动或认知症状.
- 它们的病因涉及复杂的生物,心理和社会因素.
- 目前的护理往往缺乏多学科的方法,尽管FND的复杂性.
研究的目的:
- 探索在FND护理中缺乏多学科方法背后的原因.
- 从患者和医疗保健专业人士的角度了解FND含义和护理的谈判.
- 识别FND综合护理的障碍和促进者.
主要方法:
- 采用了建设主义立足理论研究.
- 从参与FND诊断和传播的患者和医疗保健专业人员收集了数据.
- 分析的重点是确定与FND意义和护理相关的核心类别和子类别.
主要成果:
- 确定的核心类别是"在不令人满意的二分法中谈判功能神经障碍的含义和护理".
- 这些子类别包括"试图用词形容疾病"",揭露缩小主义"和"出现多元主义愿景".
- 在实现相互理解和共同立场方面存在重大挑战,阻碍了统一的FND护理方法.
结论:
- 诊断和沟通FND涉及到谈判不同的存在学观点.
- 从减少主义转向综合生物心理社会视角对于凝聚性FND护理至关重要.
- 与患者和团队共同定义的跨学科方法可以减轻护理碎片化,提高患者的治疗结果.
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