通过关怀联系,为有自杀念头和行为的青少年发送送出院后短信的开发和实施:实施研究
Glenn V Thomas1,2, Elena Camacho1, Fatimah A Masood1
1Behavioral Health Services, Nationwide Children's Hospital, Columbus, OH, United States.
JMIR pediatrics and parenting
|August 13, 2024
概括
通过短信的自动照顾联系人显著改善了自杀危机后青少年的希望和支持. 这项可扩展的质量改进计划增强了对处于风险的年轻人解雇后的护理.
科学领域:
- 公共卫生 公共卫生
- 精神病学是一个精神病学.
- 数字健康数字健康
背景情况:
- 青少年自杀是一个关键的公共卫生问题,危机后的护理过渡带来了较高的风险.
- 自杀危机后,护理连续性和情感支持的中断很常见.
- 关怀联系人,特别是短信,在改善结果和患者参与方面表现有前途.
研究的目的:
- 描述自动照顾联系人的开发和实施,使用支持性文本和图像,为退院后的青少年提供帮助.
- 概述在大型儿科医院环境中所学到的经验教训,挑战和成功因素.
- 在质量改进框架内评估这项干预的可行性和可扩展性.
主要方法:
- 一个三阶段的实施:内容开发,手动试点和工作流程评估,以及通过电子健康记录集成的自动化扩展.
- 开发支持性短信和图像,重点是希望,包容性和联系.
- 过程结果措施包括员工合规性和可选的患者后文本调查.
主要成果:
- 患者参与度很高:88.65%的患者接受了治疗,52.43%的患者接受了治疗,94.92%的患者完成了治疗.
- 招生人数下降的主要原因包括缺乏手机接入和护理人员偏好.
- 接受调查的患者报告希望增加 (83%),感到支持 (87.9%),并希望继续发短信 (86%).
结论:
- 通过使用质量改进方法,成功扩展了包含图像的自动化放电后护理联系人.
- 该干预措施被证明是有效和高效的,强调了技术在加强对处于危险的年轻人的护理方面的作用.
- 这种方法提供了一个更容易获得,包容和可持续的自杀预防策略.
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