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首页> 外文期刊>Epilepsy currents >Psychiatric Care in Epilepsy Surgery: Who Needs It?
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Psychiatric Care in Epilepsy Surgery: Who Needs It?

机译：癫痫手术中的精神科护理：谁需要它？

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At present there is considerable variability in the psychiatric evaluation and follow-up of patients in epilepsy surgery programs globally. There is a large body of research now demonstrating heightened risk for psychological disturbance in surgically remedial patients before and after surgery. This evidence provides a compelling case for the routine provision of psychiatric and psychological treatment to optimize the benefits of epilepsy surgery and patient outcomes. In a comprehensive model of care, presurgical psychiatric and psychosocial evaluation plays an integral role in shaping the team's understanding of surgical candidacy and the patient's capacity for informed consent. After surgery, efficacious treatment of psychiatric comorbidity increases the likelihood of seizure freedom as well as optimizes psychosocial functioning and quality of life. By contrast, failure to treat can allow psychiatric comorbidity to persist or psychological difficulties to develop as the patient adjusts to life after surgery.
机译：目前，全球癫痫手术项目的精神病学评估和患者随访存在很大差异。现在有大量研究表明，在手术前后，接受手术治疗的患者出现心理障碍的风险增加。该证据为常规提供精神科和心理治疗以优化癫痫手术的益处和患者预后提供了令人信服的案例。在综合的护理模型中，术前精神病学和社会心理评估在塑造团队对手术候选人资格和患者知情同意能力的理解中起着不可或缺的作用。手术后，对精神病合并症的有效治疗增加了癫痫发作的可能性，并优化了心理社会功能和生活质量。相反，由于患者适应手术后的生活，治疗失败会导致精神病合并症持续存在或出现心理困难。

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