在提供疾病管理和康复方面忠诚和临床能力:一项探索性研究
Bert-Jan Roosenschoon1,2, Jaap van Weeghel3, Mathijs L Deen4,5
1Department of Psychiatry, Epidemiological and Social Psychiatric Research Institute, Erasmus MC University Medical Centre, Doctor Molewaterplein 40, Rotterdam, 3015 GD, The Netherlands. b.roosenschoon@erasmusmc.nl.
Community mental health journal
|May 30, 2023
概括
疾病管理和康复 (IMR) 的实施情况各不相同,60%的要素执行良好. 需要额外的培训,以确保所有IMR组件,包括认知行为技术,足够提供严重精神疾病恢复.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 心理健康服务研究 心理健康服务研究
背景情况:
- 疾病管理和康复 (IMR) 是严重精神疾病的关键心理社会干预.
- 评估IMR实施的忠实性和临床医生的能力对于有效的服务提供至关重要.
- 在IMR处理完整度表 (IT-IS) 提供了一个潜在的工具来评估IMR实施与标准IMR忠实度表一起.
研究的目的:
- 评估15个组的IMR元素的实施水平.
- 探索IMR处理完整度尺度 (IT-IS) 与标准IMR忠实度尺度的互补性.
- 确定需要改进实施和培训的特定IMR元素.
主要方法:
- 用描述性统计数据分析了15个IMR组的数据.
- 为了评估实施,使用了IMR忠实度表和调整的IMR处理完整度表 (IT-IS).
- 对所有IMR元素的忠实性和临床医生的能力进行了评估.
主要成果:
- 实施成功在IMR元素之间存在显著差异,IMR忠实度表得分为M=3.94 (SD=1.13) 和IT-IS.上得分为M=3.29 (SD=1.05).
- 十二个IMR元素 (60%) 实施良好,而八个 (40%) 实施不足,包括关键的认知行为技术,如角色扮演.
- IMR忠实度表和IT-IS有很强的相关性 (r=0.74,p=0.002),表明它们是互补的.
结论:
- 充分提供所有IMR元素需要各种各样的临床技能.
- 特定的IMR元素,特别是认知行为技术,需要加强实施策略.
- 建议有针对性的额外培训和监督,以提高临床医生的能力和IMR计划的整体有效性.
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