[功能神经系统疾病. 综合,以患者为中心的神经精神病学方法]

Elise Trierweiler1, Cecile Hübsch2, Alexandre Berney1

  • 1Service de psychiatrie de liaison, Département de psychiatrie, Centre hospitalier universitaire vaudois, 1011 Lausanne.

Revue medicale suisse
|February 12, 2026
PubMed

在神经病学与联络精神病学中,常会遇到患有功能性神经系统障碍(FND)的患者,其临床表现需要多学科联合管理。FND相关的躯体、神经及精神共病显著增加了诊疗的复杂性(如症状重叠、应激相关症状调节以及治疗依从性的多重障碍),因此需早期识别与干预,以避免预后不良。本文结合一例典型临床病例,提出一种针对住院FND患者的整合式早期干预照护模式,该模式由神经科、联络精神病学科、物理治疗及作业治疗团队协同实施。

相关概念视频

Patient-centered Care01:13

Patient-centered Care

Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
3.1K
Applications of Integration to Find Centers of Mass01:30

Applications of Integration to Find Centers of Mass

Rotational equilibrium provides a natural framework for defining the center of mass of a system. For a plank balanced on a pivot with two unequal masses, equilibrium is achieved when the net torque about the pivot is zero. Torque is defined as the product of a force and its perpendicular distance from the pivot. When the torques due to all forces cancel, the pivot coincides with the center of mass of the system.For a system composed of several discrete point masses, the center of mass lies at...
86
Theoretical Approaches to Psychological Disorder01:29

Theoretical Approaches to Psychological Disorder

The development of psychological disorders, which are characterized by deviant, maladaptive, and personally distressing behaviors, has been explored through several theoretical approaches.
Biological approach
The biological approach posits that internal, organic factors are the primary causes of such disorders. This perspective emphasizes brain structure and function, genetic predispositions, and neurotransmitter imbalances. For example, schizophrenia has been associated with both genetic...
875
Integration of Rational Functions Using Partial Fractions01:29

Integration of Rational Functions Using Partial Fractions

Rational functions are expressions written as the ratio of two polynomials, and their integrals are evaluated by simplifying the integrand into manageable parts. These functions are classified as proper or improper based on the degrees of the numerator and denominator.A rational function is proper when the degree of the numerator is less than the degree of the denominator. In this case, partial fraction decomposition is used to rewrite the function as a sum of simpler rational terms. The...
104
Applications of Integration to Probability Density Functions01:27

Applications of Integration to Probability Density Functions

Continuous probability distributions are used to model random variables that can take on any real value within a specified range. These variables do not take on isolated or countable values but rather exist on a continuum. For example, the height of an individual can be measured with increasing precision—such as 163.5 or 165.25 centimeters—demonstrating that height is a continuous random variable.The behavior of such variables is described using a probability density function (PDF),...
73
Lattice Centering and Coordination Number02:33

Lattice Centering and Coordination Number

The structure of a crystalline solid, whether a metal or not, is best described by considering its simplest repeating unit, which is referred to as its unit cell. The unit cell consists of lattice points that represent the locations of atoms or ions. The entire structure then consists of this unit cell repeating in three dimensions. The three different types of unit cells present in the cubic lattice are illustrated in Figure 1.
Types of Unit Cells
Imagine taking a large number of identical...
12.2K