功能障碍协作护理网络的特点:系统性审查
Nick Mamo1, Manouk van de Klundert2, Lineke Tak3
1University of Groningen, University Medical Center Groningen, Department of Psychiatry, Groningen, Netherlands; Dimence Institute for Specialized Mental Health Care, Alkura Specialist Center Persistent Somatic Symptoms, Deventer, Netherlands.
Journal of psychosomatic research
|July 1, 2023
概括
功能障碍 (FD) 的协作护理网络 (CCN) 在结构和流程上是多样化的. 需要进一步发展网络评估和专业合作,以改善护理服务.
科学领域:
- 医疗保健管理的管理
- 临床心理学 临床心理学
- 康复医学 康复医学 康复医学
背景情况:
- 功能障碍 (FD) 是复杂的疾病,需要多学科团队 (MDT) 的参与.
- 协作护理网络 (CCN) 提供了一个框架,以优化MDT在FD护理中的潜力.
- 了解FD中现有CCN的特点对于有效实施至关重要.
研究的目的:
- 系统地审查和分析现有的功能障碍 (FD) 协作护理网络 (CCN) 的组成和特征.
- 确定CCN的结构和流程元素,这些元素可以为FD护理的最佳实践提供信息.
主要方法:
- 根据PRISMA指南进行了系统审查.
- 在多个数据库 (PubMed, Web of Science, PsycInfo, SocINDEX, AMED, CINAHL) 中进行了搜索.
- 两个审查员将网络特征提取并分类为结构和流程类别.
主要成果:
- 该审查从62项研究中确定了11个国家的39个CCN.
- 大多数网络都是门诊的,以二级护理为基础,有2-19名成员,通常涉及医疗专家,全科医生或护士.
- 在评估,管理和教育期间,合作最频繁,利用MDT会议和提供生物心理社会治疗.
结论:
- 对于FD的CCN在结构和过程中表现出显著的异质性.
- 这种变化凸显了需要改进网络评估,专业协作和教育策略的需要.
- 进一步的研究应该专注于优化CCN框架,以适应FD护理中的各种临床环境.
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