在大学产妇医院评估新的围产期心理健康服务
C Cooney1, N Kennedy2, A Doherty3
1Coombe Women and Infants University Hospital, Specialist Perinatal Mental Health Service, Cork St, Dolphin's Barn, Dublin 8, Ireland.
Irish journal of psychological medicine
|May 26, 2023
概括
在爱尔兰引入专家围产期心理健康服务 (SPMHS) 多学科团队 (MDT) 并没有改变处方模式,但改善了对标准的遵守和增加了干预. 这表明对围产期心理健康的更个性化照顾. 关键词:围产期心理健康,多学科团队,处方实践.
科学领域:
- 围产期心理健康问题
- 医疗保健服务评估评估
- 精神病学药理疗法精神病学药理疗法
背景情况:
- 爱尔兰正在出现专业围产期心理健康服务 (SPMHS).
- 评估多学科团队 (MDT) 扩张的影响对于服务开发至关重要.
研究的目的:
- 评估扩大SPMHSMDT对处方实践和治疗途径的影响.
- 为了比较MDT扩展前后的处方模式和干预措施.
主要方法:
- 在两个3周期间 (2019年和2020年) 进行推,诊断和干预的临床图表的回顾性审查.
- 在SPMHS MDT扩展后的数据比较.
主要成果:
- 大多数评估是产前 (75-79%).
- 心理药物处方率保持相似 (2019年为31%,2020年为23%),但推前处方增加 (22%对36%).
- 多维度治疗干预 (心理学,中枢神经系统,社会工作) 增加,并改善了对处方标准的遵守.
结论:
- SPMHS MDT的扩展并没有改变处方模式,而是加强了对标准的遵守,增加了多学科干预.
- 2020年更广泛的诊断类别表明,我们将朝着更个性化的患者护理迈进.
- 这些发现支持将MDT纳入围产期心理健康服务.
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