在大流行中提供危机护理:一个基于虚拟的危机稳定单位
Katrina Pullia1, Avery Clavio1, James M Bolton1,2
1Department of Psychiatry, University of Manitoba, Winnipeg, MB, Canada.
Frontiers in health services
|June 1, 2023
概括
虚拟危机稳定单位 (vCSU) 在家中提供可访问的心理健康危机护理. 这种模型对于各种患者来说是可行的,尽管需要进一步研究适合性和长期结果.
科学领域:
- 心理健康服务 心理健康服务
- 数字健康数字健康
- 危机干预 危机干预
背景情况:
- 加拿大温尼伯市为志愿患者建立了一个16个床位的危机稳定单位 (CSU).
- 虚拟CSU (vCSU) 于2020年3月推出,作为COVID-19大流行期间面对面的CSU的远程辅助.
- vCSU的目标是为患者提供类似的资源,使他们能够在家接受护理.
研究的目的:
- 检查患者的特征和vCSU的出院结果.
- 为了比较vCSU录取与CSU面对面的录取.
- 评估心理健康危机护理虚拟模型的可行性.
主要方法:
- 收集了2020年4月至2021年4月期间的vCSU招生 (n=266) 计划数据.
- 为了进行比较,在同一时期的CSU个人入院 (n=712) 的电子患者记录被用于比较.
- 用二进制后勤回归来比较vCSU (n=191) 和亲临CSU (n=521) 的入院人数和临床因素.
主要成果:
- 30.1%的vCSU患者几乎在家中接受了所有护理.
- 常见的症状包括抑郁/焦虑 (39.0%) 和自杀行为/自伤 (27.4%).
- 转诊的vCSU与精神病的缺乏 (OR 0.40) 和没有与转诊地点的先前接触 (OR 0.43) 相关. 居住在更远的地方的患者更有可能获得vCSU转诊.
结论:
- 虚拟危机稳定单位 (vCSU) 模型证明了对经历心理健康危机的不同患者的可行性.
- 需要进一步的研究来完善vCSU模型的患者选择标准.
- 需要检查vCSU模型的长期结果.
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