虚拟服务是否等同于情绪,焦虑和联系? 检查一个围产阶段的密集门诊计划
Kathryn E Cherry1, Jenna D Li2, Rebecca J Brent3
1Women's Behavioral Health, West Penn Hospital, Allegheny Health Network, Pittsburgh, PA, 15224, USA. kathryn.cherry7@ahn.org.
Archives of women's mental health
|June 10, 2024
概括
虚拟产周服务有效治疗产周情绪和焦虑障碍 (PMADs),但面对面的护理独特地改善了母亲和婴儿之间的联系. 这两个设置都显示了高的患者满意度.
科学领域:
- 围产期心理健康问题
- 母婴之间的亲密关系.
- 精神病学中的远程医疗
背景情况:
- 围产期密集门诊计划 (IOPs) 对于治疗严重围产期情绪和焦虑障碍 (PMADs) 以及母婴关系问题至关重要.
- 由于COVID-19大流行加速了向虚拟 (远程医疗) 服务提供的转变,因此需要对其有效性进行评估,而不是与面对面的护理相比.
- 扩大服务不足人群获得护理的机会凸显了评估不同服务模式的必要性.
研究的目的:
- 评估虚拟和面对面的围产期IOP服务在治疗PMAD和增强母婴纽带方面的有效性.
- 在不同的服务提供环境中比较患者的结果,包括抑郁,焦虑和结合.
- 收集患者满意度数据和对其治疗经验的定性反.
主要方法:
- 在2016年5月至2023年7月期间,对361名从围产期IOP获得的患者记录进行质量改善记录审查.
- 分析了115名患者的数据,这些患者在治疗的前三周内完成了抑郁症 (EPDS),焦虑症 (GAD-7, PASS) 和母婴结合 (PBQ) 测量.
- 收集匿名的患者满意度评分和关于他们的项目经验的定性反.
主要成果:
- 焦虑和抑郁症状在虚拟和实体环境中同样有所改善.
- 只有在面对面治疗组中观察到母婴结合的显著改善.
- 患者的结果因保险状况,种族和孩子数量而异,在不同环境中报告的总体患者满意度很高.
结论:
- 远程医疗服务是有效的解决焦虑和抑郁症状在围产期的人群,扩大范围.
- 亲自照顾可能对改善母婴纽带具有独特的益处,这是围产期IOP的关键组成部分.
- 围产期心理健康服务的持续扩张应该考虑虚拟和面对面的模式的独特好处.
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