住院精神病治疗中的延迟出院:系统性审查
Ashley-Louise Teale1, Ceri Morgan2, Tom A Jenkins2
1Department of Psychology, University of Bath, Bath, BA2 7AY, UK. alvt20@bath.ac.uk.
International journal of mental health systems
|April 6, 2024
概括
从精神病医院住院护理中延迟出院是复杂的,住宿,支持和资金是关键因素. 这些延迟造成了高昂的财务成本,并影响了患者的自主权.
科学领域:
- 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
- 系统审查是系统的审查.
背景情况:
- 从精神病医院住院治疗中延迟出院会带来巨大的财务负担,并阻碍最佳的患者护理和医院流动.
- 了解导致退院延迟的多方面因素对于改善精神病医疗服务提供和患者结果至关重要.
研究的目的:
- 系统地审查和综合有关精神病医院住院护理中延迟出院的因素和结果的证据.
- 确定在高收入国家中延迟放电的主要挑战和因素.
主要方法:
- 在Pubmed,PsycInfo和Embase进行了系统的文献搜索,寻找2002年至2022年间发表的研究.
- 包括的研究集中在高收入国家的精神病医院住院护理的延迟释放,不包括儿童/青少年,一般医疗或法医设置.
- 采用了叙事综合方法,使用混合方法评估工具 (MMAT) 评估研究质量.
主要成果:
- 十八项研究确定了延迟出院的六大原因:住宿需求,社区/康复支持挑战,资金困难,家庭/照顾者因素,法医考虑和区域外状态.
- 与延迟相关的人口和临床因素包括精神分裂症或精神病障碍的诊断,认知障碍,先前的密集服务投入,失业和社会隔离.
- 报告的后果包括患者减少选择和控制的感觉,以及服务的重大财务成本.
结论:
- 多种相互关联的因素导致精神病诊所的出院延迟,需要在实践和政策中采取综合方法.
- 建议进行进一步的研究,以探索不同环境 (儿童,法医),其他高收入国家的延迟出院情况,并调查患者和工作人员的影响.
- 标准化延迟释放术语对于更清晰的证据基础至关重要.
相关概念视频
01:31Discharge Summary Forms
753
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
753
01:21Planning Nursing Care I
4.4K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.4K
01:26Psychosis: Goals of Pharmacotherapy
124
Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
124
01:28Psychosis and Antipsychotic Drugs: Overview
246
The term "psychosis" refers to a spectrum of mental disorders characterized by abnormal thoughts, perceptions, and behaviors. It can manifest as mood disorders, dementia, delirium with psychotic features, substance-induced psychosis with psychotic features, brief psychotic disorder, delusional disorder, schizoaffective disorder, and schizophrenia. Among all these disorders, schizophrenia is the most common psychotic disorder, affecting 1% of the worldwide population. Psychotic...
246
01:19Restorative Care
2.0K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.0K
01:28Drug Therapy
43
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
43