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基于证据的物理医学与康复医学专业实践立场文件:脑卒中患者。欧洲物理医学与康复医学学会立场(UEMS PRM 科)。

Evidence-based position paper on Physical and Rehabilitation Medicine professional practice for persons with stroke. The European PRM position (UEMS PRM Section).

机构信息

Department of Physical Medicine and Rehabilitation, Ankara University Medical Faculty, Ankara, Turkey -

Sahlgrenska University Hospital, Gothenburg University, Goteborg, Sweden.

出版信息

Eur J Phys Rehabil Med. 2018 Dec;54(6):957-970. doi: 10.23736/S1973-9087.18.05501-6. Epub 2018 Aug 29.

DOI:10.23736/S1973-9087.18.05501-6
PMID:30160440
Abstract

BACKGROUND

Stroke is a major cause of disability worldwide, with an expected rise of global burden in the next twenty years throughout Europe. This EBPP represents the official position of the European Union through the UEMS Physical and Rehabilitation Medicine (PRM) Section and designates the professional role of PRM physicians for people with stroke. The aim of this study is to improve PRM physicians' professional practice for persons with stroke in order to promote their functioning and enhance quality of life.

METHODS

A systematic review of the literature including a ten-year period and a consensus procedure by means of a Delphi process has been performed involving the delegates of all European countries represented in the UEMS PRM Section.

RESULTS

The systematic literature review is reported together with 78 recommendations resulting from the Delphi procedure.

CONCLUSIONS

The professional role of PRM physicians for persons with stroke is to improve specialized rehabilitation services worldwide in different settings and to organize and manage the comprehensive rehabilitation programme for stroke survivors considering all impairments, comorbidities and complications, activity limitations and participation restrictions as well as personal and environmental factors.

摘要

背景

卒中是全世界范围内导致残疾的主要原因,预计在未来二十年,欧洲的全球负担将会增加。该 EBPP 通过 UEMS 物理医学与康复医学(PRM)分会代表了欧盟的官方立场,并指定了 PRM 医师在卒中患者中的专业角色。本研究旨在改善 PRM 医师对卒中患者的专业实践,以促进其功能并提高生活质量。

方法

通过系统的文献回顾,包括十年期间和德尔菲程序的共识程序,涉及 UEMS PRM 分会代表的所有欧洲国家的代表。

结果

系统文献综述与来自德尔菲程序的 78 项建议一起报告。

结论

PRM 医师在卒中患者中的专业角色是在不同环境中改善全球专门的康复服务,并组织和管理卒中幸存者的综合康复计划,考虑到所有的损伤、合并症和并发症、活动受限和参与受限以及个人和环境因素。

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