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打破帕金森病护理的障碍:多学科团队方法。

Breaking barriers in Parkinson's care: the multidisciplinary team approach.

机构信息

Department of Neurology University Medical Centre, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.

出版信息

J Neural Transm (Vienna). 2024 Nov;131(11):1349-1361. doi: 10.1007/s00702-024-02843-6. Epub 2024 Oct 17.

Abstract

Parkinson's disease is a complex neurodegenerative disorder presenting a range of motor and non-motor symptoms that greatly impact both patients and caregivers. The diverse needs arising from these symptoms make a multidisciplinary team (MDT) approach crucial for effective management. This article explores the role and benefits of MDTs in Parkinson's care, highlighting how collaborative models improve clinical outcomes and quality of life. MDTs integrate neurologists, nurse specialists, therapists, and other professionals to deliver comprehensive, patient-centered care. The inclusion of patients and caregivers fosters shared decision-making, enhancing health outcomes. However, challenges like limited controlled trials, lack of comprehensive guidelines, and under-referral remain. Innovative models, such as telehealth and community-based care, offer promising solutions, especially in underserved regions. The article advocates for further research and standardized guidelines to optimize the MDT approach for Parkinson's disease.

摘要

帕金森病是一种复杂的神经退行性疾病,表现出多种运动和非运动症状,对患者和照护者都有很大的影响。这些症状带来的多样化需求使得多学科团队(MDT)的方法对于有效的管理至关重要。本文探讨了 MDT 在帕金森病护理中的作用和益处,强调了协作模式如何改善临床结果和生活质量。MDT 将神经科医生、护士专家、治疗师和其他专业人员整合在一起,提供全面的、以患者为中心的护理。纳入患者和照护者可以促进共同决策,从而改善健康结果。然而,仍然存在一些挑战,如有限的对照试验、缺乏全面的指南和转介不足。创新的模式,如远程医疗和社区护理,提供了有前途的解决方案,特别是在服务不足的地区。本文主张进一步研究和制定标准化指南,以优化帕金森病的 MDT 方法。

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