严重精神疾病的代理咨询:来自第三级护理医院的探索性横截面研究
Prakyath Ravindranath Hegde1, Guru S Gowda1, Bhavika Vajawat2
1Department of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru, India.
The International journal of social psychiatry
|June 8, 2024
概括
代理咨询在印度严重精神疾病 (SMI) 护理中很常见,诸如年龄,教育和经济困难等因素会影响其使用. 需要进一步的研究来了解这些护理人员咨询,以制定更好的社区护理政策.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 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:
- 不遵守药物治疗和护理连续性的中断是严重精神疾病 (SMI) 管理的重大挑战,导致患者的不良结果.
- 代理咨询,即护理人员代表患者寻求医疗建议,是印度普遍存在但研究不足的策略,以减轻这些挑战.
研究的目的:
- 确定在重度精神疾病患者的门诊护理中代理咨询的流行程度.
- 确定与SMI患者护理中的代理咨询相关的社会人口统计学和临床因素.
主要方法:
- 在第三级护理精神病学门诊环境中进行了一项横截面研究.
- 从374名被诊断为精神分裂症或双极性和相关疾病的患者的护理人员收集了数据.
- 用描述性统计和单变物流回归分析来检查代理咨询的相关性.
主要成果:
- 在过去一年内,代理人咨询的流行率为43%.
- 在中年患者 (31-60岁),低教育程度 (不识字到中学教育) 和早期疾病发病年龄的患者中,观察到代理咨询的可能性增加.
- 诸如男性性别,更高的社会经济地位,财务困难和患者不愿意参加门诊预约等因素具有显著的相关性.
结论:
- 代理咨询是严重精神疾病护理中的常见做法,受到社会,经济,患者特定和实际因素的复杂相互作用的影响.
- 进一步的研究至关重要,以加深对代理咨询的理解,并为SMI患者的社区护理政策提供信息.
- 政策制定必须考虑围绕代理咨询的多方面的问题,以确保有效和以患者为中心的护理.
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