HEAD-MIP- ((初级保健中精神疾病患者的健康对话) - - 一项可行性研究
Veronica Milos Nymberg1, Miriam Pikkemaat2, Susanna Calling2
1Center for Primary Health Care Research, Department of Clinical Sciences, Lund University, Malmö, Sweden. veronica.milos_nymberg@med.lu.se.
Pilot and feasibility studies
|September 28, 2023
概括
这项试点研究探讨了使用健康对话 (HD) 为精神疾病初级保健患者的生活方式咨询. 这种方法对更大规模的研究是可行的,显示了改善心血管风险因素的潜力.
科学领域:
- 初级保健研究研究初级保健研究
- 心理健康服务 心理健康服务
- 预防心血管疾病 预防心血管疾病
背景情况:
- 患有精神疾病的患者由于生活方式因素而面临更高的心血管风险.
- 健康对话 (HD) 工具可以在初级保健中个性化生活方式咨询.
- 在初级保健中的精神健康患者中,重复的HD的有效性尚未研究.
研究的目的:
- 评估研究设计的可行性,以便进行更大的队列研究.
- 评估使用重复的健康对话 (HDs) 来改善生活习惯.
- 专注于因焦虑,抑郁,睡眠或与压力相关的症状寻求初级护理的患者.
主要方法:
- 在2019年10月至2021年11月期间从初级保健中招募了64名患有精神疾病的患者.
- 管理健康对话 (HD) 与心血管风险评估 (健康曲线).
- 测量可行性目标:放弃率,后续时间和风险改善率.
主要成果:
- 45% (29/64) 的患者在平均15个月的时间内参加了第二次HD.
- 所有参与者至少有一个心血管风险因素升高.
- 在评估的生活方式中,风险水平有所改善,但烟草使用除外.
结论:
- 该研究表明,拟议的方法论是可接受的,并且可用于完整的队列研究.
- 尽管学率高于预期,但这种方法看起来很有前途.
- 对于患有精神疾病的患者,需要在全科医院进行进一步的研究.
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