Pereira Manuel P, Steinke Sabine, Bruland Philipp, Ständer Hartmut F, Dugas Martin, Augustin Matthias, Ständer Sonja
Department of Dermatology and Center for Chronic Pruritus.
Institute of Medical Informatics, University Hospital Münster.
Itch (Phila). 2017 Sep;2(2):e6. doi: 10.1097/itx.0000000000000006. Epub 2017 Oct 2.
Patient care for those affected by chronic pruritus is remarkably complex due to its high prevalence and multifactorial nature. It requires a comprehensive assessment of the patient's medical history, extensive diagnostic procedures, and long treatment duration, including management of possible accompanying disorders such as sleep disturbances and mental distress. It is important to prioritize patient's needs when developing a therapeutic treatment plan. Standardized questionnaires and scales should be used to better analyze the patient history, quality of life, symptom intensity, and course of treatment. These can be distributed via digital platforms, allowing for more effective communication between the treating agents and gathering of large volumes of data in central databases. In today's health care system, it is essential for physicians with itch-related specializations and specialized itch centers to cooperate. It is thus crucial to focus efforts on the further development of specialized treatment centers and training courses for medical practitioners. There are, however, various regulatory and economic barriers to overcome in the modern health care system before patients with chronic pruritus can be offered the best possible care. Accordingly, health care authorities should be made aware of the difficulties associated with the management of chronic pruritus and of the high individual and societal burden it represents.
由于慢性瘙痒的高患病率和多因素性质，对慢性瘙痒患者的护理非常复杂。这需要对患者的病史进行全面评估、进行广泛的诊断程序以及长期的治疗，包括对可能伴随的疾病（如睡眠障碍和精神困扰）的管理。在制定治疗计划时，优先考虑患者的需求很重要。应使用标准化问卷和量表来更好地分析患者病史、生活质量、症状强度和治疗过程。这些可以通过数字平台分发，从而使治疗人员之间的沟通更有效，并在中央数据库中收集大量数据。在当今的医疗保健系统中，瘙痒相关专科医生和专门的瘙痒中心进行合作至关重要。因此，关键是要集中精力进一步发展专门的治疗中心和为医生提供培训课程。然而，在现代医疗保健系统中，在为慢性瘙痒患者提供尽可能最佳的护理之前，还有各种监管和经济障碍需要克服。因此，应让医疗保健当局意识到与慢性瘙痒管理相关的困难以及它所代表的高昂个人和社会负担。
