目的:我们的目的是比较知识,意见,和捷克的临床经验,斯洛伐克语,和意大利神经学家,以确定潜在的教育差距和统一认识。
目的:功能性神经障碍(FND)是一种以运动,感官,或与其他神经系统疾病不相容的认知症状。新的诊断和治疗方法改善了FND管理。然而,它们被采用的程度,以及欧洲社区之间的任何差异或相似之处,仍然有待建立。
方法:通过电子邮件邀请捷克和斯洛伐克神经学会的成员参加了一项14项基于网络的调查,以调查他们对FND的方法。将此数据与先前涉及492名意大利神经科医生的研究结果进行比较。
结果:232份问卷由捷克和斯洛伐克神经科医生(CZ-SK)完成。CZ-SK和意大利神经科医生之间存在相似之处,因为他们更喜欢“FND”一词,而不是其他与心理相关的术语,并且将症状解释为由于神经系统功能异常而引起的症状,而不是将其归因于精神疾病。然而,两组中只有不到5%的人认为模拟不太可能.两组报告都依赖于积极的迹象(例如不一致,分散注意力)根据当前的诊断标准,但也倾向于进行额外的测试以排除其他原因。然而,观察到一些差异:意大利神经科医师更加重视心理因素,包括诉讼.CZ-SK神经学家更有可能建议将物理治疗作为一种治疗选择,并为患者及其亲属提供教育干预。
结论:总体而言,我们的研究结果表明,尽管捷克,斯洛伐克语,意大利神经学家在FND领域采用了一些新的发展,他们在概念化方面的理解和共同实践仍然存在显著差距,诊断,和治疗。
结论:我们的研究结果表明,通过神经科医师的研究生课程和教学课程来提高知识水平对于优化欧洲各个国家的患者管理是必要的。
OBJECTIVE: We aimed to compare knowledge, opinions, and clinical experiences among Czech, Slovak, and Italian neurologists to identify potential educational gaps and unify understanding.
OBJECTIVE: Functional neurological disorder (FND) is a disabling condition characterised by motor, sensory, or cognitive symptoms which are incompatible with other neurological disorders. Novel diagnostic and treatment approaches have improved FND management. However, the extent of their adoption, and any differences or similarities across European communities, remain to be established.
METHODS: Members of the Czech and Slovak Neurological Societies were invited via e-mail to participate in a 14- -item web-based survey investigating their approach to FND. This data was compared to results from a previous study involving 492 Italian neurologists.
RESULTS: 232 questionnaires were completed by Czech and Slovak neurologists (CZ-SK). Similarities were found between CZ- -SK and Italian neurologists in their preference for the term \'FND\' over other psychological-related terms and in explaining symptoms as due to abnormal functioning of the nervous system rather than attributing them to mental illness. However, only fewer than 5% in both groups thought that simulation was highly unlikely. Both groups reported relying on positive signs (e.g. inconsistency, distractibility) according to the current diagnostic criteria, but also a tendency to perform additional tests to exclude other causes. However, some differences were observed: Italian neurologists placed a greater emphasis on psychological factors including litigation. CZ-SK neurologists were more likely to suggest physiotherapy as a treatment option and to provide educational intervention for patients and their relatives.
CONCLUSIONS: Overall, our findings suggest that although Czech, Slovak, and Italian neurologists have adopted some new developments in the field of FND, significant gaps still exist in their understanding and common practices regarding conceptualisation, diagnosis, and treatment.
CONCLUSIONS: Our results suggest that promoting knowledge through postgraduate curricula and teaching courses for neurologists is necessary to optimise patient management in various European countries.