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从生命周期视角看医学康复

[Medical rehabilitation from a lifespan perspective].

作者信息

Linden Michael, Bernert Sebastian, Funke Ariane, Dreinhöfer Karsten E, Jöbges Michael, von Kardorff Ernst, Riedel-Heller Steffi G, Spyra Karla, Völler Heinz, Warschburger Petra, Wippert Pia-Maria

机构信息

Rehabilitationswissenschaftlicher Verbund Berlin, Brandenburg und Sachsen (BBS), Luisenstr. 13, 10117, Berlin, Deutschland.

Forschungsgruppe Psychosomatische Rehabilitation, CBF, Hs II, E01, Charité Universitätsmedizin Berlin, Hindenburgdamm 30, 12200, Berlin, Deutschland.

出版信息

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2017 Apr;60(4):445-452. doi: 10.1007/s00103-017-2520-2.

DOI:10.1007/s00103-017-2520-2
PMID:28204902
Abstract

Lifespan research investigates the development of individuals over the course of life. As medical rehabilitation deals with primary and secondary prophylaxis, treatment, and compensation of chronic illnesses, a lifespan perspective is needed for the classification and diagnosis of chronic disorders, the assessment of course modifying factors, the identification of vulnerable life periods and critical incidents, the implementation of preventive measures, the development of methods for the evaluation of prior treatments, the selection and prioritization of interventions, including specialized inpatient rehabilitation, the coordination of therapies and therapists, and for evaluations in social and forensic medicine. Due to the variety of individual risk constellations, illness courses and treatment situations across the lifespan, personalized medicine is especially important in the context of medical rehabilitation, which takes into consideration hindering and fostering factors alike.

摘要

寿命研究探讨个体在生命历程中的发展。由于医学康复涉及慢性病的一级和二级预防、治疗及补偿,因此在慢性疾病的分类和诊断、病程调节因素的评估、脆弱生命期和关键事件的识别、预防措施的实施、既往治疗评估方法的开发、干预措施(包括专科住院康复)的选择和优先级确定、治疗和治疗师的协调以及社会医学和法医学评估等方面都需要从寿命的角度来考虑。由于个体在整个寿命期间的风险组合、疾病病程和治疗情况各不相同,个性化医疗在医学康复中尤为重要,因为它兼顾了阻碍因素和促进因素。

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[Medical rehabilitation from a lifespan perspective].从生命周期视角看医学康复
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[New challenges for medical rehabilitation].[医学康复的新挑战]
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2017 Apr;60(4):365-367. doi: 10.1007/s00103-017-2539-4.
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