抗精神病药物决策辅助的可用性和可行性在社区计划中用于首次发作的精神病
Yaara Zisman-Ilani1, Morgan Parker1, Elizabeth C Thomas1
1Department of Social and Behavioral Sciences, College of Public Health, Temple University, Philadelphia (Zisman-Ilani, Thomas); Department of Clinical, Educational, and Health Psychology, Division of Psychology and Language Sciences, University College London, London (Zisman-Ilani); New York State Psychiatric Institute, New York City (Parker, Nossel, Dixon); Institute on Disabilities, College of Education and Human Development, Temple University, Philadelphia (Suarez); Psychosis Education, Assessment, Care and Empowerment, Pennsylvania Early Intervention Center, Philadelphia (Hurford, Bowen); Pennsylvania Early Intervention Center/HeadsUp and Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Calkins); Pat Deegan, Ph.D. & Associates, L.L.C., Byfield, Massachusetts (Deegan); Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York City (Nossel, Dixon).
使用抗精神病药物决策辅助 (APM-DA) 的共享决策 (SDM) 提高了患者满意度,减少了精神病治疗中的冲突. 这项试点研究支持SDM在日常护理中的可行性.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 抗精神病药物是精神病的第一线治疗方法,但在坚持和停药方面面临挑战.
- 共享决策 (SDM) 越来越被认为是优化心理健康治疗结果的关键.
- 患者参与治疗决策对于改善患者的坚持和满意度至关重要.
研究的目的:
- 评估抗精神病药物决策援助 (APM-DA) 干预措施的可用性和可行性.
- 探索APM-DA对患者关于抗精神病药物使用的决策过程的影响.
- 评估SDM的潜力,以提高第一发精神病方案的护理.
主要方法:
- 一项试点随机对照试验,涉及17名参与者参加了首发精神病计划.
- 干预组 (n=9) 接受了APM-DA,而对照组 (n=8) 接受了通常的护理.
- 在任命后收集的数据,以评估决策冲突和满意度.
主要成果:
- 使用APM-DA的参与者在任命后报告了较少的决策冲突.
- 与对照组相比,干预组对他们的治疗决定表示更大的满意度.
- APM-DA并没有显著增加预约时间.
结论:
- 抗精神病药物决策援助 (APM-DA) 是实施共享决策 (SDM) 的可行和可用的工具.
- 由APM-DA促进的SDM显示出改善社区精神病护理患者体验的前景.
- 需要对更大样本进行进一步的研究来证实这些发现.
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