在参与创伤后应激障碍成年人密集门诊计划后,服务使用的变化
Brittany M Abeldt1, Kathryn H Brown1, Julia Wei2
1Department of Psychiatry, Kaiser Permanente Oakland Medical Center, Oakland, CA, USA.
The Permanente journal
|July 9, 2024
概括
密集的门诊计划 (IOP) 显著减少了住院精神病医院住院和急诊室 (ED) 对患有创伤后应激障碍 (PTSD) 的患者的访问. 这些发现支持IOPs作为PTSD护理的有效干预措施.
科学领域:
- 精神病学是一个精神病学.
- 心理健康服务研究 心理健康服务研究
背景情况:
- 密集门诊计划 (IOP) 在减少创伤后应激障碍 (PTSD) 症状方面表现有前途.
- 在PTSD患者中,IOP参与对急性精神病学服务利用的影响需要进一步调查.
研究的目的:
- 为了检查IOP参与和随后的住院精神病患者和心理健康相关的急诊室 (ED) 遇到的PTSD诊断的患者之间的关系.
主要方法:
- 这是一项对258名患有PTSD的成年人进行的回顾性队列研究,他们参与了IOP.
- 精神病患者住院住院和心理健康相关的ED遭遇在前一年和IOP参与后一年的比较.
- 使用双变量和多变量后勤回归分析来评估服务利用率的变化.
主要成果:
- 观察到至少有一次住院精神病患者 (28.7%的IOP前与15.9%的IOP后) 和与心理健康相关的ED遭遇 (24.8%的IOP前与18.2%的IOP后) 的患者比例显著下降.
- 多变量分析显示,在IOP后,住院精神病患者遭遇的几率减少了56% (aOR=0.42) 和与心理健康有关的ED遭遇的几率减少了35% (aOR=0.63).
结论:
- 参与IOP与住院精神病医院住院和心理健康相关的ED访问PTSD患者的显著减少有关.
- 研究结果支持IOP的整合和使用,作为一种策略,以减轻患有PTSD的个人密集使用服务.
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