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首页> 外文期刊>Journal of neurology >Inpatient treatment of functional motor symptoms: a long-term follow-up study.
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Inpatient treatment of functional motor symptoms: a long-term follow-up study.

机译：住院治疗功能性运动症状：长期随访研究。

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Functional neurological disorders are common, disabling and often difficult to treat. There is little consensus on the best approach to management. Multidisciplinary inpatient approaches are employed in some centres for patients with severe refractory symptoms, but their efficacy and, in particular, long-term outcomes are uncertain. We conducted a study using questionnaires completed retrospectively by patients treated at a specialised multidisciplinary inpatient programme at the National Hospital for Neurology and Neurosurgery. Consecutive patients with functional motor symptoms admitted to this centre between 2006 and 2008 were invited to participate. Questionnaires were sent at least 2?years after discharge. We contacted 32 patients, and 26 responded. The majority had symptoms for at least 3?years prior to admission; 58?% of patients reported benefit from the programme on discharge. This self-reported benefit to symptoms and function was after a 2-year follow-up period in the majority of patients, but return to work or cessation of health-related financial benefits was uncommon even in those who improved. Seventy-four percent of those questioned stated they would recommend the programme to others with similar symptoms. Attribution of symptoms to stress or emotional state was correlated with favourable outcome. Our data suggest that multidisciplinary inpatient treatment for patients with refractory functional motor symptoms provides self-reported benefit in the long-term. Prospective analysis of such interventions and the determinants of benefit need assessment in order to improve the service and target treatment to patients most likely to benefit.
机译：功能性神经疾病是常见的，致残的并且通常难以治疗。最佳管理方法尚无共识。在一些中心，对于患有严重难治性症状的患者，采用多学科住院方法，但其疗效，尤其是长期结果尚不确定。我们使用由国家神经病学和神经外科医院的专门多学科住院计划治疗的患者回顾性填写的问卷进行了一项研究。 2006年至2008年间进入该中心的连续性功能性运动症状患者被邀请参加。出院后至少2年内发送问卷。我们联系了32位患者，其中26位有反应。多数患者在入院前至少有3年出现症状。 58％的患者报告从出院计划中受益。在大多数患者中，这种自我报告的对症状和功能的益处是在2年的随访期后进行的，但是即使是康复的患者，重返工作岗位或停止与健康相关的经济利益也很少见。 74％的被调查者表示，他们会将程序推荐给其他症状相似的人。症状归因于压力或情绪状态与良好的预后相关。我们的数据表明，对于难治性功能性运动症状患者的多学科住院治疗可长期提供自我报告的益处。对此类干预措施进行前瞻性分析，并评估利益的决定因素，以改善对最有可能受益的患者的服务和针对性治疗。

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