在初级保健中加强提供者心理健康查:质量改进项目
Lauren N D'Amico1, Hannah Hanania1, Loretta T Lee2
1University of Alabama at Birmingham School of Nursing, Birmingham, AL, USA.
Journal of doctoral nursing practice
|December 4, 2023
概括
一种新的基于证据的采访技术改善了初级保健中的心理健康查. 提供者报告说,在诊断焦虑和抑郁症时,他们更喜欢结构化方法,舒适度增加.
科学领域:
- 提高初级保健质量的改善.
- 心理健康查技术 心理健康查技术
- 基于证据的护理实践.
背景情况:
- 抑郁症和焦虑症影响了美国人口的很大一部分,许多病例是在初级保健机构诊断出来的.
- 心理健康状况的有效查和诊断在初级保健中至关重要.
- 目前的查方法在识别所有焦虑和/或抑郁症患者时可能存在局限性.
研究的目的:
- 提高成年初级保健患者焦虑和/或抑郁症的查和诊断.
- 实施和评估基于证据的心理健康查采访技术.
- 评估新技术对提供者认知和诊断文档的影响.
主要方法:
- 实施结构化心理健康查面试,包括背景,影响,困难,处理,同情和动机面试.
- 除了采访技术之外,还包括了自我报告调查.
- 收集干预前后提供者感知调查和ICD-10诊断数据.
主要成果:
- 一次性重度抑郁症诊断减少了18%,复发性重度抑郁症诊断增加了34%.
- 焦虑障碍诊断增加了3%.
- 与传统方法相比,新的选采访技术对提供者的看法更为有利.
结论:
- 基于证据的心理健康查采访技术改善了提供者的舒适性,并被提供者所偏爱.
- 结构化心理健康访谈与自我报告工具相结合,显示出在初级保健中诊断焦虑和抑郁症的潜在好处.
- 这种方法可以提高在初级保健机构提供的精神卫生保健的质量.
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