在初级保健中进行心理健康咨询的结构化沟通方法:范围审查
Franziska Mosler1, Katy Packer2, Lauren Jerome3
1Queen Mary University of London, London, UK. f.r.mosler@qmul.ac.uk.
BMC primary care
|September 3, 2023
概括
结构化初级保健心理健康预约可以改善结果. 这次审查确定了结构化沟通的工具,在心理健康和生活质量方面的有效性方面有混合但有希望的证据.
科学领域:
- 初级医疗保健医学 一级医疗保健医学
- 心理健康服务研究 心理健康服务研究
- 卫生沟通健康沟通
背景情况:
- 大多数患有精神疾病的人都会在初级保健机构寻求支持.
- 结构化咨询对于身体健康和二级心理健康护理是有效的.
- 初级保健是心理健康支持的关键接入点.
研究的目的:
- 确定工具和干预措施,以在初级保健精神卫生预约中结构化沟通.
- 检查这些干预措施对心理健康和生活质量结果的有效性的证据.
主要方法:
- 对定量和定性研究进行系统审查.
- 用组合的关键词搜索了六个主要的数据库 (MEDLINE,知识网络,EMBASE,PsycINFO,Cochrane图书馆,CINAHL).
- 包括涉及初级保健工作人员和成人患者之间的双向沟通的研究.
主要成果:
- 包括16个记录,代表五个国家的八项干预.
- 干预措施主要针对心理困扰的患者,由初级保健医生提供.
- 有效性的证据是混合的;五个随机对照试验中有三项显示出积极的效果.
结论:
- 很少有干预措施专注于为心理健康组织咨询沟通.
- 现有干预措施显示可行性和可接受性.
- 这些干预措施的进一步严格测试和开发是有必要的.
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