在住院产科病房实施和评估主动咨询-联络模式
Lindsay G Lebin1, Parvaneh K Nouri1, Melissa A Kwitowski1
1University of Colorado School of Medicine, Department of Psychiatry, 1890 North Revere Court, Suite, 5003, Aurora, CO, USA.
积极的咨询-联络模式有效地在住院产科病房中识别了患有围产期精神和焦虑障碍 (PMAD) 的患者,增加了咨询率. 这种方法对PMADs的早期干预和治疗充满希望.
科学领域:
- 产科 产科 产科 产科 产科
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 围产期精神和焦虑障碍 (PMADs) 很普遍,并且与不良结果有关.
- 住院产科设置为行为健康查和干预提供了机会.
- 积极咨询-联络 (CL) 模型在一般医院有效,但在产科研究较少.
研究的目的:
- 在住院产科病房中实施和评估一个主动的,多学科的CL模型.
- 识别患有PMAD或有PMAD风险的患者.
- 为PMADs提供干预和转诊.
主要方法:
- 一个多学科的CL模型在住院产科病房中实施.
- 在17个月内对7322名患者进行系统查,确定了符合条件的患者.
- 使用RE-AIM框架来评估实施结果.
主要成果:
- 进行了1589次初始咨询,达到21.7%的咨询率.
- 社会工作者和心理学家进行了94%的咨询,经常在多学科的轮回中确定.
- 心理咨询的常见原因包括药物管理和双相情感障碍或焦虑病史.
结论:
- 在住院产科病房的积极的CL模型实现了比传统的CL服务更高的咨询率.
- 这种多学科模型显示了识别和干预PMAD病例的潜力.
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