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功能性神经障碍:对卫生专业人员的有效教学

Functional neurological disorders: effective teaching for health professionals.

作者信息

Lehn Alexander, Navaratnam Dharsha, Broughton Megan, Cheah Vince, Fenton Alison, Harm Karl, Owen Diana, Pun Paul

机构信息

Department of Neurology, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia.

The University of Queensland Princess Alexandra Hospital Clinical School, Woolloongabba, Queensland, Australia.

出版信息

BMJ Neurol Open. 2020 Jun 28;2(1):e000065. doi: 10.1136/bmjno-2020-000065. eCollection 2020.

Abstract

OBJECTIVES

To provide an outline for the delivery of an educational course or lecture about functional neurological disorders (FND) that is directed towards health professionals with varying clinical knowledge and to highlight the educational efficacy that can be derived from a well-designed educational platform.

METHOD

Through multidisciplinary collaboration, a course designed to develop the skills for diagnosis and management of FND was created. Elements essential to the delivery of education are: (A) knowledge creation; (B) facilitating multidisciplinary cross-pollination; (C) listening to patients' experiences; (D) communication skills practice; (E) case studies; (F) discipline specific mentoring; (G) establishing and addressing participant learning goals and (H) developing collegial and referral networks. Changes in participants' knowledge and clinical practice were assessed via anonymous questionnaires before and after the course.

RESULTS

Dramatically improved knowledge and confidence in assessment and management of people with FND has been found both immediately following the course as well as on 6-month follow-up.

CONCLUSION

It is possible to make real change in the understanding and management of medical and allied health clinicians working with people with FND with a low-cost intervention. Also, the development of educational networks and multidisciplinary collaboration can lead to the creation of therapeutic platforms for the diagnosis, management and advocacy of this patient group.

摘要

目的

为面向具有不同临床知识的卫生专业人员提供关于功能性神经障碍(FND)的教育课程或讲座大纲,并强调精心设计的教育平台所能产生的教育效果。

方法

通过多学科合作,创建了一门旨在培养FND诊断和管理技能的课程。教育实施的基本要素包括:(A)知识创造;(B)促进多学科交叉融合;(C)倾听患者经历;(D)沟通技巧练习;(E)案例研究;(F)特定学科指导;(G)确立并解决参与者的学习目标;(H)建立同行及转诊网络。通过课程前后的匿名问卷调查评估参与者知识和临床实践的变化。

结果

在课程结束后即刻以及6个月随访时,均发现参与者对FND患者评估和管理的知识及信心有显著提高。

结论

通过低成本干预,有可能切实改变从事FND患者工作的医学及相关卫生临床医生的理解和管理水平。此外,教育网络的发展和多学科合作可促成针对该患者群体的诊断、管理及支持的治疗平台的创建。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ecd/7903179/828641b34141/bmjno-2020-000065f01.jpg

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