在患有精神疾病的患者中使用高级急诊室的原因:不同的工作人员的观点
Marie-Josée Fleury1,2,3, Francine Ferland4, Lambert Farand3
1Department of Psychiatry, McGill University, Douglas Mental Health University Institute Research Centre, Montreal, Quebec, Canada.
International journal of mental health nursing
|September 28, 2024
概括
患有精神疾病 (MIs) 的患者由于系统障碍,经常使用急诊室 (EDs). 解决护理协调和门诊接入问题至关重要,以减少对心理健康需求的高ED利用率.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 医疗保健系统分析 医疗保健系统分析
- 质量健康研究 质量健康研究
背景情况:
- 紧急诊所 (ED) 作为精神疾病 (MI) 治疗的主要接入点.
- 患有MIs的患者使用高ED需要了解潜在的障碍和解决方案.
研究的目的:
- 确定导致MIs患者高使用ED的障碍.
- 从医疗保健专业人员的角度探索减少ED依赖的潜在解决方案.
主要方法:
- 使用采访进行的探索性定性研究.
- 来自加拿大北克的四个城市ED站点的86名心理健康专业人员接受了采访 (2021年4月至2022年2月).
- 采访的重点是与ED用于精神疾病相关的障碍和解决方案.
主要成果:
- 关键的障碍包括严重的中风,社会问题 (如贫困),护理协调不良,门诊服务不足等.
- 确定了有限的实施方案,以改善频繁使用ED的患者的护理.
- 专业人士强调了患者个人资料,医疗保健系统,组织因素和专业特征的问题.
结论:
- 建议加强ED和门诊护理之间的合作,以减少对MI的ED使用.
- 改善转诊和转移流程,护理计划和病例管理可以提高门诊护理并减少ED负担.
- 需要有针对性的干预措施来解决精神疾病和社会挑战的高ED用户的复杂需求.
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