影响法医精神病机构停留时间的因素:系统性审查
Aikaterini Dima1,2, Adonis Wazir3,4, Raquel Clark-Castillo5
1South London and Maudsley NHS Foundation Trust, London, UK. aikaterini.dima@slam.nhs.uk.
BMC health services research
|March 30, 2024
概括
确定了影响法医精神病学长期入院的因素. 杀人罪,限制法律地位和精神分裂症谱系障碍与更长的逗留相关,而更高的功能表明逗留时间更短.
科学领域:
- 法医精神病学 法医精神病学
- 心理健康服务研究研究 心理健康服务研究
背景情况:
- 法医精神科护理的特点是长时间的住院和高成本.
- 关于影响逗留时间 (LOS) 的因素的数据有限.
- 本系统性审查综合了法医医院LOS决定因素的证据.
研究的目的:
- 在法医精神病医院系统识别影响LOS的因素.
- 为减少入院时间提供有针对性的护理和干预措施提供信息.
主要方法:
- 在2022年5月之前,对主要数据库 (PubMed,EMBASE,PsycInfo) 进行了系统审查.
- 包括观察性研究,研究在法医环境中与LOS相关的变量.
- 质量评估使用了纽卡斯尔-太华尺度;由于异质性,开发了证据强度的定量衡量标准.
主要成果:
- 从1606个引用中,包括了28项研究.
- 谋杀/谋杀未遂,受限制的刑事法律地位和精神分裂症谱系障碍与较长的LOS有关.
- 较高的全球功能评估 (GAF) 评分与较短的LOS相关.
结论:
- 在法医精神病学中,对LOS因素的高质量研究很少,研究是异质的.
- 了解LOS决定因素对于改善患者护理,重新整合和康复至关重要.
- 建议在未来进行研究,以确定可行的减少入院时间的策略.
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