在一般诊所引入严重精神疾病患者的扩展咨询:SOFIA可行性研究的结果
A B R Jønsson1,2,3, F H J Martiny4,5, M K Søndergaard6
1The Section of General Practice and Research Unit for General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
BMC primary care
|October 5, 2023
概括
在一般实践中,对严重精神疾病 (SMI) 患者的扩展咨询是可行的和有益的. 这种方法有助于确定健康需求,并改善SMI患者的护理计划.
科学领域:
- 公共卫生 公共卫生
- 一般的做法一般的做法
- 心理健康服务研究 心理健康服务研究
背景情况:
- 患有严重精神疾病 (SMI) 的人的预期寿命和生活质量降低,主要是由于心血管疾病,呼吸系统疾病和癌症.
- 一项共同设计的干预措施侧重于在一般医疗机构为SMI患者提供扩展咨询,以解决这些健康差异.
研究的目的:
- 从全科医生 (GPs) 的角度调查实施SMI患者扩展咨询的可行性.
- 评估这些扩展咨询的临床内容和患者经验.
- 评估识别,查和招募SMI患者进行此类干预的可行性.
主要方法:
- 一项涉及丹麦北部七个一般实践的单臂可行性研究计划引入为期6个月的扩展商.
- 通过实践记录识别了SMI患者,并由他们的全科医生进行查.
- 数据收集包括病例报告表,咨询观察,与患者进行半结构面试,全科医生焦点小组和非正式对话.
主要成果:
- 参与了五个普通实践,由于COVID-19大流行,该研究提前结束.
- 57名SMI患者中38名 (67%) 参加了扩展咨询,导致82%的病例体质性医疗保健计划发生变化.
- 一般医生发现扩展咨询是可行的和有益的,大多数患者报告了积极的经验.
结论:
- 在一般实践中为SMI患者引入扩展咨询是可行的,并且有效地引起患者的价值观和偏好.
- 建议对更大样本和更长的随访期进行进一步的研究,以确认长期影响和最佳实施策略.
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