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西班牙风湿病学会关于纤维肌痛患者管理的建议。第二部分。

Recommendations by the Spanish Society of Rheumatology on the Management of Patients with Fibromyalgia. Part II.

作者信息

Rivera Redondo Javier, Díaz Del Campo Fontecha Petra, Alegre de Miquel Cayetano, Almirall Bernabé Miriam, Casanueva Fernández Benigno, Castillo Ojeda Cristina, Collado Cruz Antonio, Montesó-Curto Pilar, Palao Tarrero Ángela, Trillo Calvo Eva, Vallejo Pareja Miguel Ángel, Brito García Noé, Merino Argumánez Carol, Plana Farras M Nieves

机构信息

Servicio de Reumatología, Hospital General Universitario Gregorio Marañón, Madrid, España.

Unidad de Investigación, Sociedad Española de Reumatología, Madrid, España.

出版信息

Reumatol Clin (Engl Ed). 2021 Apr 28. doi: 10.1016/j.reuma.2021.01.006.

Abstract

OBJECTIVE

To prevent the deterioration of patients with fibromyalgia due to potentially avoidable harmful actions in clinical practice.

METHODS

A multidisciplinary panel of experts identified key areas, analysed the scientific evidence and formulated recommendations based on this evidence and qualitative techniques of «formal assessment» or «reasoned judgement».

RESULTS

Thirty-nine recommendations were made on diagnosis, ineffective and unsafe treatments, patient education and practitioner training. This partII shows the 12 recommendations, referring to the latter two areas.

CONCLUSIONS

Good knowledge of fibromyalgia on the part of patients improves their coping and acceptance of the disease and reduces the severity of some clinical manifestations. Healthcare professionals treating patients with fibromyalgia should be well trained in this disease to improve treatment outcomes and patient relationships.

摘要

目的

防止纤维肌痛患者因临床实践中潜在可避免的有害行为而病情恶化。

方法

一个多学科专家小组确定了关键领域,分析了科学证据,并基于这些证据以及“正式评估”或“合理判断”的定性技术制定了建议。

结果

就诊断、无效和不安全的治疗方法、患者教育及从业者培训提出了39项建议。本第二部分展示了涉及后两个领域的12项建议。

结论

患者对纤维肌痛有充分了解可改善他们应对和接受疾病的能力,并减轻某些临床表现的严重程度。治疗纤维肌痛患者的医护人员应接受该疾病的良好培训,以改善治疗效果和医患关系。

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