Advances in Rehabilitation Outcomes and Care in Patients with Prolonged Disorders of Consciousness
Prolonged disorders of consciousness (pDoC) severely affects the patients' survival and quality of life, and causes an extremely heavy disease burden. At present, considerable resources and studies have focused on the acute care of patients with pDoC, and substantial progress has been made...
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| Format: | Article |
| Language: | zho |
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Chinese General Practice Publishing House Co., Ltd
2023-09-01
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| Series: | Zhongguo quanke yixue |
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| Online Access: | https://www.chinagp.net/fileup/1007-9572/PDF/zx20230088.pdf |
| _version_ | 1797216657357144064 |
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| author | TANG Shilan, XIE Kexin, LIU Lingyu, QI Tiantian, YANG Yansui |
| author_facet | TANG Shilan, XIE Kexin, LIU Lingyu, QI Tiantian, YANG Yansui |
| author_sort | TANG Shilan, XIE Kexin, LIU Lingyu, QI Tiantian, YANG Yansui |
| collection | DOAJ |
| description | Prolonged disorders of consciousness (pDoC) severely affects the patients' survival and quality of life, and causes an extremely heavy disease burden. At present, considerable resources and studies have focused on the acute care of patients with pDoC, and substantial progress has been made in detecting, predicting and promoting recovery of consciousness, but there is little research on post-acute rehabilitation outcomes and care. In views of this, we reviewed the definition, epidemiological surveys, clinical symptoms and diagnosis criteria of pDoC, summarized the associated factors, interventions and nursing regarding rehabilitation outcomes of pDoC. Then, we put forward the following recommendations relevant to future research and practice in China: (1) improving the epidemiological data related to pDoC to provide data for relevant decision-making; (2) studying and applying new technologies to interventions for pDoC rehabilitation, and integrating clinical practice, rehabilitation prediction and prognostic management; (3) further identifying key elements and trajectory for pDoC recovery to reduce the uncertainty of prognostic outcomes due to excessive disease duration; (4) establish a continuity of care system based on the pDoC rehabilitation trajectory from acute transition, sub-acute to chronic period to improve the quality of and access to care and achieve continuous improvement in the quality of care; (5) systematically reforming the current care system to further improve the continuity of care system that contributes to rehabilitation, and strengthening the participation of the patient's family, community, disability agencies and other stakeholders besides the multidisciplinary team and the cooperation between them. It is hoped that we can provide insights into the development of research and clinical practice of pDoC in China. |
| first_indexed | 2024-04-24T11:49:27Z |
| format | Article |
| id | doaj.art-b88836552154428ba475f6a9c3828843 |
| institution | Directory Open Access Journal |
| issn | 1007-9572 |
| language | zho |
| last_indexed | 2024-04-24T11:49:27Z |
| publishDate | 2023-09-01 |
| publisher | Chinese General Practice Publishing House Co., Ltd |
| record_format | Article |
| series | Zhongguo quanke yixue |
| spelling | doaj.art-b88836552154428ba475f6a9c38288432024-04-09T08:38:34ZzhoChinese General Practice Publishing House Co., LtdZhongguo quanke yixue1007-95722023-09-0126273342334810.12114/j.issn.1007-9572.2023.0088Advances in Rehabilitation Outcomes and Care in Patients with Prolonged Disorders of ConsciousnessTANG Shilan, XIE Kexin, LIU Lingyu, QI Tiantian, YANG Yansui0Institute for Hospital Management of Tsinghua University, Shenzhen 518000, ChinaProlonged disorders of consciousness (pDoC) severely affects the patients' survival and quality of life, and causes an extremely heavy disease burden. At present, considerable resources and studies have focused on the acute care of patients with pDoC, and substantial progress has been made in detecting, predicting and promoting recovery of consciousness, but there is little research on post-acute rehabilitation outcomes and care. In views of this, we reviewed the definition, epidemiological surveys, clinical symptoms and diagnosis criteria of pDoC, summarized the associated factors, interventions and nursing regarding rehabilitation outcomes of pDoC. Then, we put forward the following recommendations relevant to future research and practice in China: (1) improving the epidemiological data related to pDoC to provide data for relevant decision-making; (2) studying and applying new technologies to interventions for pDoC rehabilitation, and integrating clinical practice, rehabilitation prediction and prognostic management; (3) further identifying key elements and trajectory for pDoC recovery to reduce the uncertainty of prognostic outcomes due to excessive disease duration; (4) establish a continuity of care system based on the pDoC rehabilitation trajectory from acute transition, sub-acute to chronic period to improve the quality of and access to care and achieve continuous improvement in the quality of care; (5) systematically reforming the current care system to further improve the continuity of care system that contributes to rehabilitation, and strengthening the participation of the patient's family, community, disability agencies and other stakeholders besides the multidisciplinary team and the cooperation between them. It is hoped that we can provide insights into the development of research and clinical practice of pDoC in China.https://www.chinagp.net/fileup/1007-9572/PDF/zx20230088.pdfconsciousness disorders|prolonged disorders of consciousness|rehabilitation|prognosis|care|review |
| spellingShingle | TANG Shilan, XIE Kexin, LIU Lingyu, QI Tiantian, YANG Yansui Advances in Rehabilitation Outcomes and Care in Patients with Prolonged Disorders of Consciousness Zhongguo quanke yixue consciousness disorders|prolonged disorders of consciousness|rehabilitation|prognosis|care|review |
| title | Advances in Rehabilitation Outcomes and Care in Patients with Prolonged Disorders of Consciousness |
| title_full | Advances in Rehabilitation Outcomes and Care in Patients with Prolonged Disorders of Consciousness |
| title_fullStr | Advances in Rehabilitation Outcomes and Care in Patients with Prolonged Disorders of Consciousness |
| title_full_unstemmed | Advances in Rehabilitation Outcomes and Care in Patients with Prolonged Disorders of Consciousness |
| title_short | Advances in Rehabilitation Outcomes and Care in Patients with Prolonged Disorders of Consciousness |
| title_sort | advances in rehabilitation outcomes and care in patients with prolonged disorders of consciousness |
| topic | consciousness disorders|prolonged disorders of consciousness|rehabilitation|prognosis|care|review |
| url | https://www.chinagp.net/fileup/1007-9572/PDF/zx20230088.pdf |
| work_keys_str_mv | AT tangshilanxiekexinliulingyuqitiantianyangyansui advancesinrehabilitationoutcomesandcareinpatientswithprolongeddisordersofconsciousness |