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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.

DOI:10.1007/s00702-024-02843-6
PMID:39417880
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11502601/
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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The Views of Healthcare Professionals on iFall, a Smartphone Application for Falls Reporting in Parkinson's Disease: A Qualitative Study.医疗保健专业人员对iFall(一款用于帕金森病跌倒报告的智能手机应用程序)的看法:一项定性研究。
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本文引用的文献

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Physical exercise for people with Parkinson's disease: a systematic review and network meta-analysis.帕金森病患者的体育锻炼:系统评价与网状Meta分析
Cochrane Database Syst Rev. 2024 Apr 8;4(4):CD013856. doi: 10.1002/14651858.CD013856.pub3.
2
Dietary Interventions in Parkinson's Disease.帕金森病的饮食干预。
J Parkinsons Dis. 2024;14(1):1-16. doi: 10.3233/JPD-230366.
3
Pesticides and the Microbiome-Gut-Brain Axis: Convergent Pathways in the Pathogenesis of Parkinson's Disease.农药与微生物组-肠道-脑轴:帕金森病发病机制中的汇聚途径。
J Parkinsons Dis. 2023;13(7):1079-1106. doi: 10.3233/JPD-230206.
4
Gut microbiota dysbiosis in Parkinson disease: A systematic review and pooled analysis.帕金森病中的肠道微生物群失调:一项系统评价和汇总分析。
Eur J Neurol. 2023 Nov;30(11):3581-3594. doi: 10.1111/ene.15671. Epub 2023 Jan 18.
5
COVID-19 and Integrated Multidisciplinary Care Model in Parkinson's Disease: Literature Review & Future Perspectives.新型冠状病毒肺炎与帕金森病的综合多学科护理模式:文献综述与未来展望
Behav Sci (Basel). 2022 Nov 13;12(11):447. doi: 10.3390/bs12110447.
6
Occupational therapy for people with Parkinson's disease in Israel: A SWOT analysis.以色列帕金森病患者的职业治疗:SWOT 分析。
Scand J Occup Ther. 2023 Jul;30(5):673-683. doi: 10.1080/11038128.2022.2150305. Epub 2022 Nov 24.
7
Motor and non-motor improvements following short-term multidisciplinary day-clinic care in Parkinson´s disease.帕金森病短期多学科日间门诊治疗后的运动和非运动改善。
J Neural Transm (Vienna). 2022 Dec;129(12):1419-1426. doi: 10.1007/s00702-022-02562-w. Epub 2022 Nov 6.
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Improving Access to Tertiary Movement Disorders Subspecialty Care: A Team Model Born From the COVID-19 Crisis.改善三级运动障碍专科护理的可及性:一种源于新冠疫情危机的团队模式。
Neurol Clin Pract. 2022 Apr;12(2):164-168. doi: 10.1212/CPJ.0000000000001154.
9
Occupational Therapy Practice Guidelines for People With Parkinson's Disease.《帕金森病患者作业治疗实践指南》。
Am J Occup Ther. 2022 May 1;76(3). doi: 10.5014/ajot.2022.763001.
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Lee Silverman Voice Treatment to Improve Speech in Parkinson's Disease: A Systemic Review and Meta-Analysis.李·西尔弗曼嗓音疗法改善帕金森病患者言语功能:一项系统评价与荟萃分析。
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