Gudat W, Nürnberg W
Silberberg Klinik, Rechensöldenweg 8-10, 94249 Bodenmais.
Hautarzt. 2010 Apr;61(4):310-6. doi: 10.1007/s00105-009-1864-4.
Chronic diseases usually limit patients severely in their working, social and family life. With many chronic or chronically recurring skin diseases, particularly atopic disorders, it is often impossible to define specific causes that will respond to treatment. Since a full cure cannot be achieved in constitutional dermatoses, a holistic therapeutic approach is required. This must go beyond the identification, treatment and cure of the disease, and take into account the reciprocal interactions between the patient's organic, emotional and social symptoms. Based on the bio-psycho-social model of disease and health, modern dermatological rehabilitation therefore applies a holistic concept which goes well beyond dermatological treatment, also including the dimensions of function, activity, participation and context. The holistic approach is based on findings in rehabilitation science and takes into account the principles of complexity, interdisciplinary care and individuality.
慢性病通常会严重限制患者的工作、社交和家庭生活。对于许多慢性或慢性复发性皮肤病，尤其是特应性疾病，往往无法确定可对治疗产生反应的具体病因。由于体质性皮肤病无法实现完全治愈，因此需要采用整体治疗方法。这必须超越疾病的识别、治疗和治愈，还要考虑患者的身体、情绪和社会症状之间的相互作用。基于疾病与健康的生物 - 心理 - 社会模型，现代皮肤病康复因此应用一种整体概念，它远远超出了皮肤病治疗的范畴，还包括功能、活动、参与和环境等方面。整体方法基于康复科学的研究结果，并考虑到复杂性、跨学科护理和个性化原则。
