焦虑症患者的护理轨迹:一项回顾性队列研究
Pasquale Roberge1, Catherine Hudon1, Josiane Courteau2
1Département de Médecine de Famille et de Médecine d'urgence, Université de Sherbrooke, Sherbrooke, Québec, Canada; Centre de recherche du Centre hospitalier universitaire de Sherbrooke (CRCHUS), Canada.
Journal of affective disorders
|December 27, 2023
概括
患有焦虑障碍 (AD) 的人表现出不同的医疗保健使用 (HCU) 模式. 确定了五种不同的护理轨迹 (CTs),受伴随性疾病的影响,突出了在整体患者护理中考虑ADs的必要性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 精神病学是一个精神病学.
- 流行病学 流行病学
背景情况:
- 焦虑障碍 (ADs) 与医疗保健利用率 (HCU) 的增加有关.
- 患者寻求护理的途径因临床和个人因素而异.
- 了解这些途径对于有效的医疗保健管理至关重要.
研究的目的:
- 描述被诊断患有焦虑障碍 (ADs) 的人的独特护理轨迹 (CTs).
- 为了确定患有AD的个体在医疗保健使用中的模式.
- 探索伴随性疾病对这些护理途径的影响.
主要方法:
- 使用加拿大社区健康调查 (CCHS) 和北克卫生行政数据进行的回顾性队列研究.
- 包括5143名受访者报告2009年至2016年期间的AD.
- 在CCHS数据收集之前的5年期间,使用状态序列分析来测量CT.
主要成果:
- 确定了五种不同的CT,在医疗保健使用 (HCU) 和并发症概况方面存在显著差异.
- 第1型 (52.7%) 代表了低HCU与较少的并发症.
- 第4类和第5类 (合计10.2%) 涉及年轻患者,患有严重心理困扰和高急性护理利用率.
结论:
- 在患有焦虑障碍 (AD) 的人群中,明显存在不同的护理轨迹 (CT).
- 这些模式在很大程度上受到身体和精神健康并发症的调节.
- 识别这些多样化的CT对于综合护理至关重要,尤其是在管理同时出现的疾病时.
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