围产期远程精神病学护理的促进因素和障碍:一种定性研究
Anna Howard1, Sunny Wang2, Jamie Adachi3
1Department of Epidemiology, University of Washington, Seattle, Washington, USA.
BMJ open
|October 6, 2023
概括
远程精神病学提供了更好的临产期心理健康护理,大多数患者和工作人员认为它比面对面的访问更好. 关键的促进者包括通信和在线门户,尽管技术问题可能是障碍.
科学领域:
- 围产期心理健康问题
- 远程精神病学是一种精神病学.
- 数字健康数字健康
背景情况:
- 围产期精神健康障碍会影响母亲和儿童的福祉.
- 由于心理健康症状和传播风险增加,COVID-19大流行加速了远程精神病学的采用.
- 传统的面对面预约对围产期精神卫生保健服务的获取构成了挑战.
研究的目的:
- 为了识别获得围产期远程精神病学护理的促进者和障碍者.
- 了解患者和诊所工作人员对远程精神病学服务的看法.
- 评估远程精神病学对围产期精神卫生保健服务的影响.
主要方法:
- 使用深入的,半结构化的访谈进行的定性研究.
- 在学术环境中的虚拟专业心理健康诊所进行.
- 采访包括8名患者和5名诊所工作人员 (精神病医生,导航员,经理).
主要成果:
- 远程精神病治疗通常被偏爱于面对面的护理,被认为是容易参加和导航的.
- 障碍包括技术上的困难,对人身护理的偏好以及围产期特定的调度冲突.
- 有效的沟通,在线患者门户网站和预约提醒对于准备和出席至关重要.
结论:
- 患者和护理人员都对远程精神病学服务有积极的看法.
- 电脑精神病学具有显著的潜力,可以提高围产期患者获得心理健康护理的机会.
- 解决技术和后勤障碍可以进一步优化远程精神病学对于围产期心理健康.
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