在第一发精神病患者中住院和寻求帮助
Anna Yee1, Sarah Greene2, Ashley Weiss2
1School of Medicine, Tulane University, New Orleans, LA, USA. ayee@tulane.edu.
Discover mental health
|April 3, 2024
概括
在首次寻求帮助的情节 (HSE) 中参与协调专业护理 (CSC) 治疗首次精神病 (FEP) 可以减少住院治疗. 早期干预是改善结果和尽量减少医疗保健利用的关键.
科学领域:
- 精神病学是一个精神病学.
- 心理健康服务研究 心理健康服务研究
- 临床心理学 临床心理学
背景情况:
- 住院治疗是第一次精神病发作 (FEP) 患者的护理途径中的一个重要事件.
- 了解影响住院的因素对于优化早期干预服务至关重要.
- 寻求帮助的情节 (HSE) 代表了复杂的护理之旅中的关键接触点.
研究的目的:
- 调查住院在FEP护理途径中的住院的作用.
- 探索寻求帮助的情节 (HSE) 和随后的住院治疗之间的关系.
- 评估协调专科护理 (CSC) 对FEP住院率的影响.
主要方法:
- 利用了新奥尔良早期精神病干预诊所 (EPIC-NOLA) 的66名患者的数据,这是一个CSC诊所.
- 雇员护理途径 (PTC) 评估,以记录寻求帮助的行为.
- 进行了图表审查,以识别和量化患者住院病例.
主要成果:
- 大多数患者 (n=37) 经历了多次住院治疗 (M=2.98).
- 患者在开始EPIC-NOLA治疗之前住院的次数更多,而不是在开始治疗后.
- 与多个HSE相比,在第一个HSE后启动CSC与入院后住院的数量显著减少 (p < .001).
- 增加的HSE与更高的入院后住院率相关 (τb=.327,p<.05),而未经治疗的精神病持续时间 (DUP) 没有显著的相关性.
结论:
- 在患者进入EPIC-NOLA CSC计划后,观察到的住院病例较少.
- 在第一个HSE后的早期治疗 seems似乎减少了未来的住院治疗.
- 寻求帮助的频率增加,而不是DUP,与住院的可能性有关,这强调了在初始寻求帮助的努力中及时干预的重要性.
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