虚拟协作护理与专业精神病学治疗抑郁或焦虑的治疗
Kathryn K Ridout1,2,3, Mubarika Alavi2, Catherine Lee2
1The Permanente Medical Group, Kaiser Permanente Northern California, Oakland, California.
The Journal of clinical psychiatry
|September 6, 2024
概括
虚拟协作护理在治疗抑郁和焦虑症状方面表现出与专科精神病学同等或更大的有效性. 这种方法支持国家心理健康查和治疗指南.
科学领域:
- 心理健康 心理健康
- 精神病学是一个精神病学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 协作护理模式被认为可以改善初级保健机构的抑郁和焦虑.
- 虚拟协作护理与虚拟专科精神病学的有效性比较研究在现实环境中有限.
- 这项研究通过比较虚拟协作护理和专业精神病学来解决心理健康治疗的差距.
研究的目的:
- 为了比较虚拟协作护理与虚拟专科精神病学在半年内管理抑郁和焦虑症状的有效性.
- 在现实世界的综合医疗保健系统中检查患者的结果.
主要方法:
- 在大型综合医疗保健系统中使用目标试验模拟的观察性研究.
- 纳入标准:成年人 (≥18岁) 患有轻度至中度抑郁或焦虑 (PHQ-9/GAD-7得分). 排除标准:急性自杀风险.
- 统计分析涉及线性混合效应回归与治疗权重的逆概率,以比较6个月后的结果.
主要成果:
- 分析了10,380名患有抑郁症和2,935名患有焦虑症的患者.
- 协作护理和专科精神病学组都显示出显著的症状改善.
- 与专科精神病学相比,协作护理对抑郁症 (AMD = -4.0) 和焦虑症 (AMD = -2.6) 的症状减轻显著更大 (P < .0001).
结论:
- 虚拟协作护理对抑郁和焦虑和专科精神病学一样有效,甚至可能比专科精神病学更有效.
- 协作护理的实施符合并支持国家心理健康查和治疗指南.
- 虚拟协作护理为在综合护理环境中管理常见心理健康状况提供了可行和有效的替代方案.
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