探索功能神经障碍的治疗干预措施:一个全面的范围审查
Francesca Sireci1, Federica Ragucci2, Chiara Menozzi3
1Neurology Unit, Neuromotor and Rehabilitation Department, Azienda USL-IRCCS di Reggio Emilia, Viale Risorgimento 80, 42123, Reggio Emilia, Italy.
Journal of neurology
|May 22, 2024
概括
功能神经障碍 (FND) 在医疗保健和治疗方面存在复杂的挑战. 本次审查强调了需要多学科,分阶段的护理模式,以有效地解决各种FND表现.
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 (FNDs) 涉及复杂的症状表现和具有挑战性的医疗护理导航.
- 现有的FND护理途径可能是循环的和自我延续的,阻碍有效的治疗.
- 围绕FND的误解需要探索超出纯医学治疗的替代方案.
研究的目的:
- 进行范围审查,绘制功能神经障碍的最新实践和干预措施的地图.
- 识别和分析FND目前的护理途径和治疗方法.
- 倡导综合护理模式,超越传统医疗疗法.
主要方法:
- 使用范围审查方法来综合现有文献.
- 搜索了2018年1月至2022年12月期间发表的相关论文.
- 专注于美国和英国医疗保健机构记录的干预和护理途径.
主要成果:
- 确定了31篇论文,主要来自美国和英国的医疗保健系统.
- 干预措施由多学科团队或个人心理治疗师提供.
- 对于运动性与非运动性FNDs存在不同的护理途径,有不同的转诊 (例如,运动性物理治疗,非发作的心理健康).
- 对辅助服务 (如社会工作或职业治疗) 的关注有限.
- 观察到评估工具和治疗结果指标的高度异质性.
- 神经科医生/精神科医生诊断,而物理治疗师/心理学家通常提供治疗.
结论:
- 功能神经障碍需要量身定制的多学科治疗.
- 建议采用分阶段的护理模式,从标准到个性化模块.
- 解决复杂的FND病因和并发症需要综合的,整体的方法.
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