关于在心理健康护理中共同决策的挑战,观点的转变
Doris Verwijmeren1,2, Koen P Grootens3,4
1Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, Postbus 90153, 5000 LE, Tilburg, The Netherlands. d.verwijmeren@tilburguniversity.edu.
Community mental health journal
|August 7, 2023
概括
共享决策 (SDM) 面临心理健康护理中的障碍,原因是患者的复杂需求和治疗. 本次审查确定了跨护理层面的20个障碍,为改善SDM实施提供了前景.
科学领域:
- 心理健康护理 心理健康护理
- 精神病学是一个精神病学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 共享决策 (SDM) 在医生与患者之间的沟通中是首选的,但在心理健康方面未得到充分利用.
- 复杂的精神病综合症和治疗对SDM实施构成独特的挑战.
研究的目的:
- 系统地审查心理健康护理中对SDM的感知和报告的障碍.
- 为促进在精神病学环境中更广泛地使用SDM提供前景.
主要方法:
- 在多个数据库中系统地搜索文献,寻找关于精神病治疗中SDM障碍的出版物.
- 将障碍分类为微,中和宏观层面的主题.
- 临床前景:确定障碍物的整合.
主要成果:
- 从100项研究和报告中确定了20个不同的SDM障碍.
- 障碍物分布在微层 (8),中层 (7) 和宏观 (5) 的主题之间.
- 承认一些障碍是可以解决的,而另一些障碍是精神健康护理动态固有的.
结论:
- 在心理健康护理中实施SDM面临着许多多方面的挑战.
- 需要灵活的方法来解决固有的复杂性,长期关系和社会后果.
- 提出了四个观点,以提高SDM在心理健康方面的潜在潜力.
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