[Hardnekkige aanhoudende lichamelijke klachten in de huisartsenpraktijk].

Q4 Medicine
Tijdschrift voor psychiatrie Pub Date : 2024-01-01
S Rutten, M Hulscher, R E Boeschoten, I Keuning, J F van Eck van der Sluijs, M Rikkers, C den Boer, J Maarseveen, T Olde Hartman, L M Tak
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引用次数: 0

Abstract

Background: In the care of patients with persevering (‘treatment-resistant’) persistant physical symptoms (PPS), problems are common. With this study, we want to identify starting points for improvement of care, including suggestions for the role of mental health care.

Aim: Using the profile for persevering PPS we will estimate the prevalence, describe characteristics of this patient group and map problems encountered in their care.

Method: Online survey in general practitioners (GPs).

Results: The response rate to the survey was 12.8%. The mean estimated prevalence of persevering PPS in general practice was 0.7% (corresponding to an estimated 122,500 patients throughout the Netherlands). Many patients encountered iatrogenic harm, experience societal problems and limitations in mobility and ADL independence. Although there was a general increased use of health care in these patients, some also avoided care or were under-treated. In the persistence of symptoms, patient-related factors played a role (like insisting on further somatic diagnostic tests, lack of motivation for PPS-specific treatment), but health-care related factors, like rejection for care or a lack of regional treatment options for patients with PPS, also had a causal role.

Conclusion: Almost every GP experiences problems in the care for patients with persevering PPS. Mental health care professionals can support the GP better, by optimizing options for consultation and referral.

[全科医学中持续存在的顽固性身体不适]。
背景:在护理具有顽固性(‘治疗抵抗’)的持续性躯体症状(PPS)患者时,问题很常见。通过这项研究,我们希望找出改善护理的出发点,包括对精神健康护理作用的建议。目的:我们将利用持久性躯体症状(PPS)的概况来估算患病率,描述这一患者群体的特征,并描绘在护理过程中遇到的问题:方法:对全科医生(GPs)进行在线调查:调查的回复率为 12.8%。全科医生中顽固性 PPS 的平均估计发病率为 0.7%(相当于荷兰全国约 122,500 名患者)。许多患者受到了先天性伤害,遇到了社会问题,行动能力和日常生活自理能力受到限制。虽然这些患者普遍增加了对医疗服务的使用,但也有一些患者逃避治疗或治疗不足。在症状持续存在方面,与患者有关的因素起到了一定作用(如坚持进一步的躯体诊断检测、缺乏针对 PPS 治疗的动力),但与医疗保健有关的因素,如拒绝治疗或缺乏针对 PPS 患者的区域性治疗方案,也起到了一定的作用:结论:几乎每位全科医生在护理顽固性 PPS 患者时都会遇到问题。心理保健专业人员可以通过优化咨询和转诊选择,为全科医生提供更好的支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Tijdschrift voor psychiatrie
Tijdschrift voor psychiatrie Medicine-Medicine (all)
CiteScore
0.60
自引率
0.00%
发文量
118
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