改进多种慢性疾病和同时出现严重精神疾病的患者退院后体验的过渡期护理计划:范围审查
Heather Brom1, Kathy Sliwinski2, Kelvin Amenyedor3
1Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, 418 Curie Blvd., Philadelphia, PA 19104, United States of America; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA 19104, United States of America.
General hospital psychiatry
|October 21, 2024
概括
过渡期护理计划改善了严重精神疾病 (SMI) 过渡到家中的个人的生活质量. 这些计划加强了决策和医疗保健连接,尽管社会需求在很大程度上仍未得到解决.
科学领域:
- 医疗保健管理的管理
- 精神病学护理 精神病学护理
- 公共卫生 公共卫生
背景情况:
- 对于患有多种慢性疾病和严重精神疾病 (SMI) 的人来说,从医院到家庭的过渡是复杂的.
- 这一群人群往往面临着与健康相关的重大社会需求,并依赖医疗补助保险.
- 有效的过渡期护理对于这个脆弱的人群至关重要.
研究的目的:
- 确定SMI患者的医院到家庭过渡期护理计划的组成部分并评估其结果.
- 了解现有干预措施的范围及其对患者福祉和医疗保健利用的影响.
主要方法:
- 使用Arksey和O'Malley的方法进行了范围审查.
- 在三个数据库中进行了搜索,确定了八个过渡期护理计划 (2013-2024) 的十篇文章.
- 资格标准侧重于为从医院到家庭过渡的SMI患者的计划.
主要成果:
- 五项计划针对的是从精神病房出院的患者;五项干预是基于家庭的.
- 关键组成部分包括指导,药物管理,精神病支持和咨询.
- 这些计划对生活质量,共享决策和获得初级/专科护理的机会产生了积极影响,但仅限于社会需求.
结论:
- 过渡期护理计划在改善住院后SMI患者的结果方面表现有希望.
- 干预措施有效地提高生活质量和医疗保健整合.
- 解决与健康相关的社会需求仍然是未来计划开发的关键领域.
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