精神分裂症住院患者在出院前的临床决策:西班牙德尔菲专家共识
José Manuel Montes1,2, Luis Agüera-Ortiz2,3, Anna Mané2,4
1Psychiatry Department, Hospital Universitario Ramón y Cajal, Universidad de Alcalá, Madrid, Spain.
Frontiers in psychiatry
|June 25, 2024
概括
对精神分裂症患者 (PWS) 制定出院标准至关重要. 专家一致认为,症状控制和药物耐受性是成功出院的关键因素.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 社区心理健康团队通常管理精神分裂症患者 (PWS).
- 由于复杂的临床,个人或社会因素,PWS通常需要住院精神病治疗.
- 缺少PWS医院出院决定的现有指导方针.
研究的目的:
- 在急性住院精神病治疗后,就精神分裂症患者的出院标准建立专家共识.
主要方法:
- 使用了经过修改的Delphi方法.
- 42名西班牙各地的精神病医生参加了这次活动.
- 评估了四个关键领域:临床症状学,治疗因素,后续护理和身体健康.
主要成果:
- 在64个陈述中有59个 (92.2%) 达成了共识.
- 在治疗相关因素和身体健康监测方面达成了充分的共识.
- 在临床症状和随访护理方面观察到部分共识,在症状控制与抑制和抗精神病药物耐受性方面有显著的共识.
结论:
- 这份专家共识为临床医生提供了指导,为PWS做出出院决定.
- 症状控制和药物耐受性是出院计划的重要考虑因素.
- 可能需要进一步的研究来解决缺乏共识的领域.
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