功能运动障碍的综合护理模式:针对大脑,心灵和身体
Haseel Bhatt1,2, Lindsey MacGillivray1,2,3, Gabriela S Gilmour1,4
1Edmond J. Safra Program in Parkinson's Disease and the Morton and Gloria Shulman Movement Disorders Clinic, Toronto Western Hospital and the University of Toronto, Toronto, ON, Canada.
Disability and rehabilitation
|July 9, 2024
概括
综合护理模式有效治疗功能运动障碍 (FMD). 这种结合精神病学,神经病学和物理治疗的方法,在高出席率的情况下,显示出患者的显著改善.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 物理疗法物理治疗
背景情况:
- 功能性运动障碍 (FMD) 提出了复杂的挑战,需要多学科的护理.
- 综合护理模式为管理口热症状和并发症提供了一个有希望的途径.
- 过去对口热的治疗方法有所不同,需要对新策略进行评估.
研究的目的:
- 评估综合护理模型对被诊断为功能运动障碍 (FMD) 的患者的疗效.
- 描述本综合模型中使用的特定治疗方法.
- 评估与综合护理模式相关的临床结果和患者改善.
主要方法:
- 在2020年1月至2022年7月期间接受治疗的口病患者的回顾性图表审查.
- 三个治疗组的比较:综合治疗 (精神病学,神经学,物理治疗),单独的物理治疗和虚拟的物理治疗.
- 评估结果使用简化功能运动障碍评分表 (S-FMDRS) 和临床全球印象改善表 (CGI-I).
主要成果:
- 在所有治疗组中,S-FMDRS得分显著降低 (71%的改善).
- 69%的患者在CGI-I尺度上报告了"很多"或"非常多"的改善.
- 在综合疗法和仅物理疗法组之间没有观察到结果的显著差异,这表明该模型的可行性.
结论:
- 时间有限的综合护理模式是治疗功能运动障碍 (FMD) 患者的可行和有效策略.
- 综合方法显示出积极的临床结果,支持其在口热管理中的采用.
- 面对面和虚拟组件的高出席率表明了患者参与度和模型的可访问性.
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