瑞士年轻成年人社区的专业心理护理之路:一个病例控制研究
N Osman1, C Michel2, B G Schimmelmann2,3
1Clinic for Psychiatry and Psychotherapy/LVR-Clinic Duesseldorf, Medical Faculty and University Hospital Duesseldorf, Heinrich Heine University Duesseldorf, Duesseldorf, Germany. naweed.osman@lvr.de.
及时寻求帮助对于心理健康 (MH) 治疗成功至关重要. 这项研究发现,非MH专业接触延迟了充分的MH护理,强调了迅速转诊到MH专业人员的必要性.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 心理健康 (MH) 问题的治疗成功受到寻求帮助的及时性的影响.
- 了解影响护理途径的因素对于改善MH服务提供至关重要.
研究的目的:
- 调查特定症状和寻求帮助的原因对最初的接触点和接受的专业治疗的强度的影响.
- 在社区样本中分析治疗心理健康问题的途径.
主要方法:
- 利用了来自"伯恩流行病学风险" (BEAR) 研究的数据,分析了615名参与者 (年龄在16-40岁),他们寻求针对MH问题的帮助.
- 使用修改后的"世卫组织护理途径问卷"来评估寻求帮助的行为,并确定"最密集的MH专业接触".
- 进行路径分析,以检查症状和寻求帮助的原因对治疗路径的影响.
主要成果:
- 大多数人 (65.9%) 寻求直接的MH专业帮助,但很大一部分 (37.9%) 有多个非MH医疗预接触.
- 经过平均1.47次接触后,发生了最密集的MH专业接触.
- 非MH专业的前接触与接受最密集,足够的MH治疗有负面关联.
- 滥用物质和中部植物性问题增加了寻求MH专业联系的可能性.
结论:
- 最初的接触点对于获得足够的MH护理至关重要.
- 从非MH专业人员转介到MH专业人员应该加快,以改善治疗结果.
- 对包括全科医生在内的医疗保健提供者进行宣传活动和培训,可以促进及时访问MH专业人员.
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