双重诊断及其寻求帮助的护理途径:来自印度的多中心研究
Abhishek Ghosh1, Diptadhi Mukherjee2, Sourav Khanra3
1Department of Psychiatry, Drug De-addiction and Treatment Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Indian journal of psychiatry
|September 11, 2024
概括
综合护理改善了从初始接触到后续接触的双重诊断 (DD) 治疗可能性. 传统治疗师是DD患者的常见第一接触点,特别是那些患有严重精神疾病 (SMI) 的人.
科学领域:
- 双重诊断 (DD) 护理途径
- 心理健康服务研究 心理健康服务研究
- 药物使用障碍 (SUD) 治疗方法
背景情况:
- 了解护理途径对于组织双重诊断 (DD) 服务至关重要.
- 促进医疗保健部门之间的培训和转诊对于有效的DD护理至关重要.
- 描述患者的旅程有助于识别DD治疗中的差距和机会.
研究的目的:
- 描述DD患者的逐步医疗保健和其他接触者.
- 为了比较常见精神障碍 (CMD) 与严重精神疾病 (SMI) 的第一接触特征.
- 估计在不同接触级别中接受适当的DD治疗的可能性.
主要方法:
- 在印度八个中心进行横截面描述性研究 (2022年4月 - 2023年2月).
- 包括589名新注册的DD患者.
- 利用世卫组织的途径接触表格对医疗保健联系人进行分类.
主要成果:
- 平均年龄32岁,男性96%;酒精是最常见的物质.
- 在SMI和CMD中,比例相等 (50.8%).
- 传统治疗师是常见的第一次接触 (18.5%),但集成的DD护理主导了后来的接触.
- 获得援助的可能性从第一次 (23.1%) 接触到第二次 (62.1%) 和第五次 (97.4%) 接触,显著增加.
- 患有CMD的患者最初寻求一般医院/私人医生对SUD症状的帮助;SMI患者寻求亲属/传统治疗师对精神症状的帮助.
结论:
- 认识到文化细微差别对于有效的DD护理至关重要.
- 倡导综合护理模式可以弥合治疗差距.
- 解决系统性挑战是改善DD服务提供所必需的.
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