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在紧急部门的艾滋病毒查计划中使用物质和心理健康查:实施一年的结果
Jennifer L Brown1, Nicole K Gause2, Robert Braun3
1Purdue University, West Lafayette, IN, USA.
Health promotion practice
|August 31, 2023
概括
大多数急诊室患者的查结果为有问题的物质使用和同时出现的心理健康症状呈阳性. 综合查计划可以改善对物质使用障碍和心理健康护理的识别.
科学领域:
- 公共卫生 公共卫生
- 紧急医疗 紧急医疗
- 精神病学是一个精神病学.
背景情况:
- 急诊室 (ED) 是查物质使用障碍 (SUD) 和并发精神疾病 (COD) 的潜在场所.
- 这项研究报告了在基于ED的查计划实施期间检测到的问题性物质使用和并发性精神健康症状的频率.
- 该查被整合到已建立的EDHIV查计划中.
研究的目的:
- 评估在ED中接受HIV查的患者中问题性物质使用的频率和同时出现的心理健康症状.
- 评估在ED环境中对SUD和COD进行综合查方法的有用性.
主要方法:
- 在城市ED的1924名患者被专门的艾滋病毒查人员接触.
- 患者完成了酒精使用障碍识别测试-简要 (AUDIT-C) 和国家药物滥用改性酒精,吸烟和物质参与查测试 (NIDA-改性ASSIST) 的酒精和物质使用.
- 阳性选引发了对抑郁症 (PHQ-9),焦虑症 (GAD-7) 和PTSD (PCL-C) 的评估.
主要成果:
- 大多数患者 (58.5%) 的查结果为有问题的酒精和/或物质使用呈阳性.
- 在那些阳性物质使用查的人中 (n = 1,126),47.0%的人也对至少一个心理健康状况进行了查.
- 报告称抑郁症 (32.1%),PTSD (29.6%) 和焦虑症 (28.5%) 的症状升高.
结论:
- 在ED环境中,特别是当与艾滋病毒查等服务相结合时,可以识别大量有问题的物质使用和同时出现的心理健康状况的个人.
- 综合查计划提高了需要进一步评估和与SUD和心理健康问题的护理联系的个人的识别.
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