在精神病学中接受多种疾病:从共发病到多发病
Christophe Gauld1, Emmanuel D'Incau2, Pauline Espi3
1Department of Child Psychiatry, CHU de Lyon, 69000 Lyon, France; Institut des sciences cognitives Marc-Jeannerod, UMR 5229 CNRS & Université Claude-Bernard Lyon 1, 69000 Lyon, France.
L'Encephale
|September 8, 2024
概括
精神病学中的多病症包括同样治疗多种健康状况,专注于以患者为中心的护理和相互关联的症状. 这种方法重新塑造了研究,临床实践和公共卫生战略,以获得更好的结果.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 多病症,多种健康状况的共存,在精神病患者群体中很常见.
- 传统的精神病治疗往往专注于单一指数障碍,忽视了并发症的复杂性.
- 需要以患者为中心的方法来解决精神病多病症患者的整体需求.
研究的目的:
- 定义和探索精神病学中的多病症概念.
- 检查多病症对临床实践,研究和公共卫生的影响.
- 在管理精神疾病方面,倡导转向以患者为中心的护理的范式转变.
主要方法:
- 在精神病学文献中对多病症的概念分析.
- 对临床实践指南和研究方法的审查.
- 探索公共卫生视角和社会生态系统理论.
主要成果:
- 精神病学中的多病症需要平等地看待所有诊断,将重点从指数障碍转移到相互关联的症状.
- 临床实践受益于以患者为中心的方法,解决整体需求并挑战当前的心理健康护理组织.
- 研究结果正在重塑,需要患者报告的结果措施和个性化干预措施的伦理考虑.
结论:
- 在精神病学中采用多病态框架可以改善患者的预后,护理质量,并可能降低医疗成本.
- 这个概念对公共卫生有重大影响,与社会生态模型保持一致,并影响全球死亡率.
- 重新思考精神病护理的概念化和组织是有效管理多病症的必要条件.
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