Schröder Andreas, Fink Per, Fjordback Lone, Frostholm Lisbeth, Rosendal Marianne
Forskningsklinikken for Funktionelle Lidelser og Psykosomatik, Arhus Universitetshospital, Arhus Sygehus, 8000 Arhus C, Denmark.
Ugeskr Laeger. 2010 Jun 14;172(24):1839-42.
Identical treatment strategies have proven effective in various functional somatic syndromes (FSS) and evidence is increasing that FSS share common aetiological factors, pathophysiological mechanisms and psychological features. Currently, only a minority of patients with FSS receive evidence-based treatment. The main reasons for this are inappropriate organisation of care, physicians' lack of knowledge and a widespread neglect of patients' suffering. We outline a unified stepped care approach for the prevention and management of FSS in which treatment strategies are not based on the diagnostic label, but on illness severity and complexity.
相同的治疗策略已在各种功能性躯体综合征(FSS)中被证明有效,并且越来越多的证据表明,FSS具有共同的病因学因素、病理生理机制和心理特征。目前,只有少数FSS患者接受循证治疗。主要原因是护理组织不当、医生缺乏知识以及对患者痛苦的普遍忽视。我们概述了一种用于FSS预防和管理的统一阶梯式护理方法,其中治疗策略不是基于诊断标签,而是基于疾病的严重程度和复杂性。