问病人:功能性发作治疗的目标
Beth K Rush1, Luke Kim2, Steve Savinoff3
1Department of Psychiatry and Psychology, Mayo Clinic, Jacksonville, FL, United States.
在治疗目标中,有功能性 (FS) 的成年人优先考虑功能性改善而不是管理. 这凸显了需要在功能性发作的临床试验中包括以患者为中心的结果.
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:
- 功能性发作 (FS) 治疗试验通常侧重于临床医生定义的结果.
- 针对功能性发作治疗的以患者为中心的目标尚未得到广泛研究.
研究的目的:
- 检查和分类患者定义的治疗目标在功能性发作的成年人.
- 在功能性发作治疗中,将患者优先级与临床医生定义的结果进行比较.
主要方法:
- 一组826名功能性发作 (FS) 的成年人接受了门诊治疗,他们的治疗目标被审查.
- 目标被分类,以确定最常见的患者优先级.
主要成果:
- 最常见的患者目标与功能改善有关 (抽象和具体),占所有目标的42.1%.
- 对32.5%的患者来说,发作管理是首要任务,而发作教育和精神病学工具是不太常见的目标.
- 患者定义的功能改善目标被优先考虑,而不是减少事件频率,这是一个常见的医学结果.
结论:
- 功能性发作治疗的成功应同样优先考虑以患者为中心的功能改善目标以及医学定义的结果.
- 康复指标对于功能性发作的成年人来说,可能与传统医疗结果同样重要,甚至更重要.
- 未来的功能性发作临床试验设计应纳入患者定义的目标,以提高治疗的相关性和有效性.
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