与获得功能障碍诊断标签相关的因素:系统性审查
Mais Tattan1, Judith Rosmalen1, Denise Hanssen1
1Interdisciplinary Centre Psychopathology and Emotion Regulation, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
PloS one
|January 27, 2025
概括
女性患者更有可能接受功能障碍 (FD) 诊断. 医疗保健提供者对患者的标签表示担忧,需要高质量的研究来指导诊断决策.
科学领域:
- 医学研究 医学研究
- 精神病学是一个精神病学.
- 胃肠病学 胃肠病学
背景情况:
- 功能障碍 (FD) 是像纤维肌痛和刺激性肠综合征这样的常见疾病,通过症状模式来诊断.
- 许多符合FD标准的患者缺乏正式诊断.
- 了解影响FD诊断的因素对于患者护理至关重要.
研究的目的:
- 系统地审查与获得功能障碍诊断标签相关的因素.
- 探索患者和医疗保健专业人士对FD诊断的观点.
主要方法:
- 在PubMed,PsycINFO和Embase上进行系统的文献搜索,遵循PRISMA指南.
- 包括所有研究方法和语言,重点关注FD诊断标签.
- 数据提取和质量评估使用QuADS仪器,由两个独立审查员进行.
主要成果:
- 包括15项研究 (10项定量,5项定性).
- 女性患者更有可能获得FD诊断标签.
- 由于潜在的患者伤害,医疗保健专业人员在诊断FD时表现出犹;研究质量低至中等.
结论:
- 了解症状发展之外的因素是基于证据的FD诊断决策的关键.
- 迫切需要高质量的研究来改善功能障碍的诊断实践.
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