在功能性神经系统疾病中产生阴性损害.
Caoimhe Mcloughlin1, Wei Hao Lee1, Alan Carson1
1Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh Bioquarter, Edinburgh E16 4SB, Scotland, UK.
功能神经障碍 (FND) 由于错误诊断和延迟治疗,可能会导致显著的阳性损害. 本综述概述了危害,并提出了预防这些危害的策略,改善了FND患者的护理.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 患者安全 患者安全
背景情况:
- 功能神经障碍 (FND) 在全球范围内越来越多地得到认可.
- 对FND患者的阳性损害是一个持久而重要的问题.
- 尽管有进展,但理解和减轻FND的危害需要进一步关注.
研究的目的:
- 总结功能神经障碍 (FND) 中阳性损害的来源.
- 确定预防和解决此类危害的潜在策略.
- 为了告知临床实践,提高FND管理中的患者安全.
主要方法:
- 覆盖范围审查方法.
- 结合了临床和研究经验.
- 对阳性损害源和减轻风险的策略进行系统总结.
主要成果:
- 确定了关键的危害:错误诊断,延迟诊断/治疗,专业互动,耻辱,诊断掩盖和过度诊断.
- 强调,尽管在FND理解方面取得了进展,这些危害仍然存在.
- 概述了潜在的预防措施和缓解策略.
结论:
- 解决阳性损害对于有效的FND管理至关重要.
- 策略包括提高诊断准确度,加强教育,并促进与其他医疗条件的平等性.
- 涉及患者和专业人员的综合方法对于减少危害至关重要.
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