Multimodal Imaging Group, Research Imaging Centre, Campbell Mental Health Research Institute, Centre for Addiction & Mental Health, Toronto, Canada.
Institute of Medical Science, University of Toronto, Toronto, Canada.
Laryngoscope. 2020 Jul;130(7):1792-1799. doi: 10.1002/lary.28351. Epub 2019 Nov 26.
The traditional medical care model of "assess and refer" requires revamping to address the multifaceted needs of patients with chronic dizziness and imbalance by adopting an interdisciplinary approach to care that integrates nursing and psychiatry (INaP). We aim to present a novel interdisciplinary approach that incorporates INaP in the care of patients with chronic dizziness and imbalance.
Presentation of an interdisciplinary model of care that incorporates INaP provided at the Toronto General Hospital in Toronto, Canada.
Interdisciplinary care incorporating INaP, which includes the provision of support from an interdisciplinary health care team (ie, neurotologist, neurologist, psychiatrist, physiotherapist, and nurse clinician), psychoeducation about the interaction between chronic dizziness and psychiatric comorbidities, and ongoing access to medical and psychosocial assessment and intervention, addresses the physical and emotional aspects of patients' experience with chronic dizziness.
The novel comprehensive interdisciplinary approach incorporating INaP may be more effective than interdisciplinary care without INaP in improving clinical outcomes in patients with chronic dizziness. In the subsequent study, we present data comparing patients treated for chronic dizziness and imbalance with and without the integration of INaP in an interdisciplinary setting.
5 Laryngoscope, 130:1792-1799, 2020.
传统的“评估和转介”医疗模式需要进行改革，通过采用护理和精神病学相结合的跨学科方法（INaP）来满足慢性头晕和失衡患者的多方面需求。我们旨在提出一种新的跨学科方法，将 INaP 纳入慢性头晕和失衡患者的护理中。
介绍在加拿大多伦多的多伦多综合医院采用的包含 INaP 的跨学科护理模式。
包含 INaP 的跨学科护理，包括提供来自跨学科医疗团队（例如神经耳科医生、神经科医生、精神科医生、物理治疗师和护士临床医生）的支持、关于慢性头晕和精神共病之间相互作用的心理教育，以及持续获得医疗和社会心理评估和干预，解决了患者慢性头晕体验的身体和情绪方面的问题。
包含 INaP 的新型综合跨学科方法可能比没有 INaP 的跨学科护理更能有效改善慢性头晕患者的临床结局。在随后的研究中，我们将比较在跨学科环境中整合和不整合 INaP 治疗慢性头晕和失衡患者的数据。
5 Laryngoscope, 130:1792-1799, 2020.
