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对于患有抑郁症和身体并发症的老年人而言,综合护理模式:一个范围审查
Laura Tops1,2, Simon Gabriël Beerten1,2, Mathieu Vandenbulcke3,4
1Academic Centre of General Practice, KU Leuven, Kapucijnenvoer 7, Box 7001, 3000, Leuven, Belgium.
International journal of integrated care
|January 15, 2024
概括
抑郁症和身体疾病的老年人综合护理模式涉及多学科团队,重点关注连续性,以人为中心和整体评估. 未来的研究应该详细介绍实施和成本.
科学领域:
- 老年学是一门学科.
- 精神病学是一个精神病学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 多病症在照顾患有精神疾病的老年人方面是一个重大挑战.
- 综合护理管理对于解决老年人同时出现的身体和精神健康问题至关重要.
研究的目的:
- 确定综合护理模式的核心组成部分,用于经历抑郁症的老年人与身体相关疾病一起.
- 将这些综合护理模型的报告结果和实施策略映射出来.
主要方法:
- 使用主要数据库 (PubMed,EMBASE,CINAHL,Cochrane图书馆) 进行了全面的范围审查.
- 两位独立审查员选了专注于对抑郁症和身体并发症的老年人综合护理的研究.
- 使用SELFIE框架来绘制核心组件,并系统地对临床和组织结果进行了目录.
主要成果:
- 审查中包括了38项研究,详细介绍了13种不同的综合护理模式.
- 跨模型的关键组成部分包括多学科团队,护理连续性,以人为中心,量身定制的整体评估,主动性,治疗互动,个性化护理规划和根据复杂性量身定制的协调.
- 评估了27个不同的结果,与组织结果相比,更重视临床结果.
结论:
- 这种人群的综合护理模型的特点是不同的核心组件.
- 未来的研究应该优先考虑对这些干预措施的实施方面进行更深入的调查.
- 需要更加透明地报告财务组成部分,包括医疗保健用户的成本.
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