基于护士的外展计划的有效性,用于识别和治疗老年人的精神疾病
P V Rabins1, B S Black, R Roca
1Meyer 279, Johns Hopkins Hospital, 600 N Wolfe St, Baltimore, MD 21287-7279. pvrabins@jhmi.edu
JAMA
|June 6, 2000
概括
与常规护理相比,移动外展计划显著减少了老年居民的精神症状. 这种干预措施改善了严重精神疾病的老年人心理健康结果.
科学领域:
- 老年精神病学是一门精神病学专业.
- 社区心理健康社区精神健康
- 公共卫生干预 公共卫生干预
背景情况:
- 与年轻人相比,患有精神疾病的老年人被诊断不足,治疗不足.
- 获得护理的机会有限是一个重要的障碍,导致老年人心理健康服务的差异.
研究的目的:
- 为了评估基于护士的移动推广计划的有效性,城市住房心理老年评估和治疗 (PATCH) 计划.
- 为了比较PATCH计划对抑郁症,精神症状和不良动作的影响,与老年公共住房居民的通常护理相比.
主要方法:
- 一项前性随机试验在6个城市公共住房中进行,用于老年人.
- 该研究涉及对住户进行精神疾病查,积极病例和负面病例样本接受结构化采访.
- 干预组接受了PATCH模型,包括员工教育和公寓评估,而控制组接受了通常的护理.
主要成果:
- 在26个月后,PATCH干预组的抑郁症得分 (MADRS) 和精神症状得分 (BPRS) 与常规护理组相比显著降低.
- 干预组和对照组在不良转移方面没有发现显著差异,例如安置在养老院.
结论:
- 在老年居民中,PATCH移动外展计划在缓解精神病症状方面比常规护理更有效.
- 这些发现强调了有针对性的外展计划的潜力,以改善弱势老年人群的心理健康结果.
相关概念视频
01:19Restorative Care
2.3K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.3K
01:21Planning Nursing Care I
5.7K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
5.7K
01:15Nursing Evaluation
4.1K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
4.1K
01:15Drug Dosing: Geriatric Patients
395
Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
395
01:24Treatment Strategies for Psychological Disorders
977
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
977