走向健康学科的跨学科整合:以纤维肌痛综合征为例

E. Giusti
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引用次数: 0

摘要

摘要纤维肌痛是一种具有多方面性质的慢性疼痛障碍,其生物学、心理和社会方面有着密切的联系。因此,强烈建议将不同的健康学科结合起来进行护理。基于这一原则的干预措施越来越多,但就纳入的学科如何相互融合而言,每一种干预措施都是异质的。在这方面,多学科和跨学科项目是有区别的。前者的组织是为了使用不同的视角来治疗综合征的各个方面,其各种治疗成分通常由不同的护理提供者单独提供。相反,计划进行跨学科治疗,通过提供联合治疗或安排关于病例的全体讨论,促进操作员之间的对话。在慢性疼痛领域,一些作者建议超越这些方法,计划跨学科治疗,这将使专业人员能够跨越他们的学科界限。尽管没有提出这些干预措施用于治疗纤维肌痛的例子,但文献中有一种明显的趋势,即更全面的护理形式。
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Toward a Transdisciplinary Integration of the Health Disciplines: The Case of the Fibromyalgia Syndrome
Abstract Fibromyalgia is a chronic pain disorder with a multifaceted nature and its biological, psychological and social aspects are strongly interconnected. Therefore, the integration of the different health disciplines is strongly recommended for its care. There is a growing number of interventions based on this principle but each of them is heterogeneous with regards to how the included disciplines are integrated with each other. With this regards, multidisciplinary and interdisciplinary programs are distinguished. The former are organized in order to treat the various aspects of the syndrome using different perspectives and their various treatment components are usually provided separately by the different care providers. Conversely, interdisciplinary treatments are planned in order to foster a dialogue between the operators by providing a joint conduction of the treatment or scheduling plenary discussions about the cases. In the field of chronic pain, some authors are suggesting to move beyond these approaches and to plan transdisciplinary treatments, which would allow the professionals to move across their disciplinary boundaries. Although no examples of these interventions have been proposed for the treatment of fibromyalgia, there is a visible trend in the literature toward more holistic forms of care.
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