低收入和中等收入国家的有效协作护理计划的成功成分:快速审查
Jessica Whitfield1,2, Shanise Owens3, Amritha Bhat1
1Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA, USA.
Global mental health (Cambridge, England)
|October 19, 2023
概括
在初级医疗保健中集成协作护理有效地治疗低收入和中等收入国家 (LMICs) 的心理健康障碍. 关键要素包括多学科团队和标准化的协议,显示显著的临床改进.
科学领域:
- 全球健康 全球健康
- 心理健康服务研究 心理健康服务研究
- 整合初级保健的整合.
背景情况:
- 低收入和中等收入国家 (LMICs) 的心理健康治疗差距需要创新的护理提供模式.
- 协作护理,一个综合模式,显示出希望,但需要适应LMIC环境.
- 了解有效的组件对于扩大综合心理健康服务至关重要.
研究的目的:
- 在LMIC中确定合作护理模型的有效组成部分,用于LMIC中优先治疗成人精神障碍.
- 审查LMICs内的门诊医疗环境中协作护理有效性的证据.
- 在各种LMIC环境中为协作护理的实施和适应提供信息.
主要方法:
- 按照柯克伦快速审查方法小组的指导方针进行了快速审查.
- 对在LMIC门诊机构对优先成人精神障碍 (情绪,焦虑,精神病,物质使用,) 的协作护理的研究进行了选.
- 数据提取集中在关键干预组件和临床结果上,汇总以评估组件的频率和影响.
主要成果:
- 分析了25篇文章,描述了9个LMIC的20个协作护理模式.
- 与对照组相比,14个模型显示临床结果在统计学上有显著的改善.
- 成功的模型包括多学科团队,结构化的沟通,标准化的基于证据的治疗方法,系统的疾病识别和分阶级的护理.
结论:
- 协作护理是治疗LMIC中一系列精神障碍的有效模式.
- 调整模型以适应当地环境对于成功实施至关重要.
- 需要进一步研究人口水平,长期成果和持续实施战略.
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