重新计划:对在门诊医院设置的功能性发作患者的简短干预计划的评估
Lana Higson1,2, Terence J O'Brien1,2, Genevieve Rayner2,3
1Department of Neuroscience, Monash University, Melbourne, Victoria, Australia.
Epilepsia
|August 3, 2024
概括
该Re-PROGRAM干预措施显示了减少功能性发作频率和改善患者报告结果的前景. 这种简短的,远程医疗提供的计划对于功能性发作 (FS) 患者来说似乎是可行的和可以接受的.
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:
- 功能性 (FS) 占诊所转诊的很大一部分,导致严重的残疾和医疗利用.
- 现有的治疗指南强调需要协调护理途径,但基于证据的干预措施和资源仍然有限.
- 该Re-PROGRAM干预方案是为了解决对功能性发作的有效,短暂治疗的需求而开发的.
研究的目的:
- 评估Re-PROGRAM的可行性和可接受性,这是一种针对功能性患者的新短期干预措施.
- 评估Re-PROGRAM对门诊病例中发作频率,持续时间,强度和患者报告结果的影响.
主要方法:
- 对29名FS患者进行了回顾性评估,这些患者通过远程医疗参与了Re-PROGRAM干预.
- 干预包括五次每周的会议,重点是管理,生活方式的修改和行为激活.
- 通过使用干预前/干预后问卷和常规临床随访来评估患者的结果.
主要成果:
- 所有29名被录取的患者完成了Re-PROGRAM干预,表明了高可行性和可接受性.
- 显著的大多数患者 (15/16人填写了问卷,8/9人从临床随访中) 报告了发作频率的减少.
- 患者报告说,发作的持续时间,强度,烦,控制感,应对能力和日常功能有所改善.
结论:
- Re-PROGRAM干预是一种可行的,可接受的功能性的简短治疗,在门诊远程医疗环境下进行.
- 需要在更大的随机对照试验中进行进一步的研究,以确认这些发现并确定疗效.
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