重新评估血管学负面亚结节出血患者的沟通和护理:平衡现实主义和乐观主义
Sara Khosdelazad1, Jacoba M Spikman1,2, Sofie Solvang1
1Department of Neurology, Unit Neuropsychology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
European journal of neurology
|March 16, 2024
概括
血管学上负面的下大脑下出血 (anSAH) 不是良性的. 患者经常经历长期的认知和情绪问题,需要改善神经治疗和患者沟通,以实现现实的期望.
科学领域:
- 神经学 神经学
- 神经科学是一个神经科学.
- 神经外科 神经外科
背景情况:
- 血管学上负面的甲状腺下下垂体出血 (anSAH) 传统上被视为良性,因为有利的急性结果.
- 新出现的证据强调了包括认知和情绪缺陷在内的显著的长期后果.
研究的目的:
- 倡导管理SAH的范式转变.
- 强调需要加强患者沟通和现实的期望设置.
主要方法:
- 关于SAH结果的最新研究的回顾.
- 立场论文的制定基于当前的证据.
主要成果:
- 一种SAH经常导致持续的认知障碍.
- 情绪上的痛苦和难以恢复日常活动的困难是SAH后常见的.
- 对SAH的"良性"标签越来越受到功能性结果数据的挑战.
结论:
- 对SAH的神经治疗需要重新评估.
- 患者沟通必须解决长期的功能缺陷和情绪影响.
- 培养现实的患者期望对于anSAH后的康复和福祉至关重要.
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