对患有精神和行为障碍的患者进行常规检查
Solomon M K K Jere1, Candice Van Koningsbruggen1, Mignon Du Toit2
1Division of Emergency Medicine, Department of Family, Community and Emergency Care, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
在急诊中心的例行医疗查对有行为障碍的患者没有任何好处. 临床医生的判断应该指导调查,因为不必要的测试很少影响患者的结果.
科学领域:
- 医学研究 医学研究
- 临床心理学 临床心理学
- 紧急医疗 紧急医疗
背景情况:
- 医疗许可旨在排除精神健康障碍中的一般医疗条件.
- 目前的证据表明,临床医生的手势,而不是常规查,应该指导调查.
研究的目的:
- 评估西部开普省对成年行为障碍患者例行调查指南的有效性.
- 评估遵守这些指南的情况.
主要方法:
- 南非米切尔斯平原医院的描述性研究.
- 超过6个月的电子注册表数据.
- 针对一般疾病患者的风险分层和调查结果的分析.
主要成果:
- 在688名患者中,66%的患者有异常的生命体征.
- 在312名研究患者中,56%的患者有异常结果 (18%具有临床意义).
- 异常调查改变了<1%的患者的结果;遵守率为82%.
结论:
- 支持使用临床评估和临床医生手势,而不是在急诊中心的例行查.
- 不遵守指导方针对患者的治疗结果的影响最小.
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