对于患有严重精神疾病的人来说,合作护理方法
Siobhan Reilly1,2,3, Charley Hobson-Merrett4,5, Bliss Gibbons6
1Centre for Applied Dementia Studies, Faculty of Health Studies, University of Bradford, Bradford, UK.
与标准护理相比,重度精神疾病 (SMI) 的协作护理没有显示出与标准护理相比,生活质量,精神状态或精神病医院入院的显著改善. 需要进一步进行高质量的研究来评估其有效性.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 严重精神疾病 (SMI) 影响社区中的个人,需要有效的护理模式.
- 协作护理旨在通过跨学科的合作来加强身体和心理健康服务.
- 这一审查更新了以前关于SMI协作护理的研究结果.
研究的目的:
- 评估协作护理与标准护理对SMI社区居民的有效性.
- 评估对生活质量,精神状态和精神病医院入院的影响.
主要方法:
- 随机对照试验 (RCT) 的系统审查,将协作护理与SMI的标准护理进行比较.
- 在多个数据库进行搜索,包括Cochrane注册表,MEDLINE,Embase和PsycINFO.
- 使用风险比率和标准化平均差异提取和分析数据,并对证据确定性进行GRADE评估.
主要成果:
- 包括8个涉及1165名参与者的RCT.
- 低至非常低的确定性证据表明,12个月后生活质量,精神状态或精神病房入院情况没有显著差异.
- 一项研究表明,协作护理改善了残疾,但证据的确定性很低. 协作护理显示出混合的成本效益.
结论:
- 目前的证据不支持协作护理对12个月后SMI的主要结果比标准护理更有效.
- 建议改进报告,更高质量的RCT和对潜在机制的调查.
- 根据现有证据解释协作护理的有效性时,建议谨慎.
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