对抗精神病药物的审查的跨城合作护理模型:复杂干预的可行性研究
Kirsti M Jakobs1,2, Karlijn J van den Brule-Barnhoorn3, Jan van Lieshout4
1Primary and Community Care Department Nijmegen, Radboud University Medical Center, Nijmegen, The Netherlands. Kirsti.Jakobs@radboudumc.nl.
Scientific reports
|May 29, 2024
概括
通过协作干预,全科医生可以改善抗精神病药物 (AP) 患者的心血管风险管理. 这项研究发现干预是可行的,并提供并部分采用建议以降低风险.
科学领域:
- 心脏病学 心脏病学
- 一般的做法一般的做法
- 精神病学是一个精神病学.
背景情况:
- 一般医生 (GPs) 往往缺乏对抗精神病药物 (AP) 诱导的心血管风险 (CVR) 的认识.
- 在使用非典型AP的患者中,对CVR的系统监测通常是不充分的.
- 这种差距需要进行干预,将CVR管理纳入AP用户的初级保健.
研究的目的:
- 评估复杂干预措施的可行性,以审查AP使用情况.
- 通过跨村合作评估建议CVR降低策略的潜力.
- 确定干预是否可以在一般实践中实施.
主要方法:
- 这是一项混合方法前性队列研究,该研究在荷兰的三家全科医院进行.
- 干预涉及数字信息会议,多学科会议和共享决策访问.
- 通过招聘/保留率评估可行性;通过采用建议,QRISK3 CVR分数和MHI-5心理状态分数在基线和3个月的有效性.
主要成果:
- 一般医生邀请了39%的符合条件的患者;19%的患者参与了,其中82%完成了干预,64%完成了随访.
- 在多学科会议上,78%的患者接受了关于改变AP使用,药物,生活方式,监测或心理治疗的建议.
- 在3个月的随访期间,41%的建议被采纳.
结论:
- 复杂的干预是可行的,以评估在试验环境中使用APs的患者的健康改善.
- 跨边界合作显示了在初级保健中解决AP诱导的CVR的潜力.
- 需要进一步的研究来优化干预组件并提高咨询采用率.
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