在宿舍环境中治疗行为健康并发症的干预措施:范围审查
Lilla Brody1, Karolina Sadowska2, Maureen Ekwebelem2
1Division of Geriatrics and Palliative Medicine, Weill Cornell Medicine, New York, NY, USA; Department of Psychology, American University, Washington, DC, USA.
对宿舍患者的行为健康干预措施的研究是有限的. 需要更多的研究来改善生命末期的心理健康结果.
科学领域:
- 老年学是一门学科.
- 抚慰性护理是一种缓解性护理.
- 心理健康研究 心理健康研究
背景情况:
- 行为健康 (BH) 伴随性疾病在宿舍患者中很常见,影响生活质量和护理人员的福祉.
- 在临终关怀环境中,基于证据的BH干预尚未得到充分研究.
研究的目的:
- 绘制现有关于在宿舍患者中治疗BH并发症的干预措施的研究.
- 为了确定干预类型,研究设计和BH调查的结果.
主要方法:
- 进行了范围审查,包括对宿舍患者的BH干预措施的经验研究.
- 抽象了研究设计,干预类型和患者特征的数据.
主要成果:
- 包括来自16个地区的37项研究,其中英国代表性最大.
- 补充/替代和心理治疗干预是最常见的;许多研究是试点/可行性.
- 17项研究显示了统计学上显著的BH结果,重点关注抑郁症,焦虑和痛苦;创伤和物质使用没有得到解决.
结论:
- 对于临终关怀中的基于证据的BH干预措施,存在很大的研究缺口,特别是在美国.
- 随机对照试验的稀缺性表明,目前的做法可能缺乏强有力的证据.
- 迫切需要投资于宿舍研究基础设施和量身定制的临床试验,以解决终身精神健康问题.
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