退伍军人对以患者为中心,基于测量的PTSD护理的经验和偏好
Marcela C Weber1,2, Ashlyn M Jendro1,3, Ellen P Fischer1,2
1South Central Mental Illness Research, Education, & Clinical Center, Central Arkansas Veterans Healthcare System, Little Rock, AR.
患有PTSD的退伍军人更喜欢以患者为中心的护理,这种护理可以测量超越症状的进展. 以测量为基础的护理 (MBC) 针对个体目标,包括功能和福祉,可以改善治疗参与度和结果.
科学领域:
- 心理健康 心理健康
- 心理治疗研究 心理治疗研究
- 退伍军人健康的医疗服务
背景情况:
- 对于患有PTSD的退伍军人而言,以创伤为重点的基于证据的心理治疗 (TF-EBP) 的高退学率表明,护理不是以患者为中心的.
- 心理健康中的基于测量的护理 (MBC) 通常不是个性化的,尽管有证据支持这种方法用于VA的PTSD护理.
研究的目的:
- 探索退伍军人的经验和偏好,以个性化基于测量的PTSD护理.
- 将MBC与退伍军人的个人治疗目标保持一致.
主要方法:
- 对15名被诊断患有PTSD的退伍军人进行了定性采访,他们至少接受过两次TF-EBP会议.
- 调查收集了结果调查问卷,人口统计和TF-EBP经验的数据.
主要成果:
- 退伍军人有不同的目标,所有人都至少有一个非症状目标 (例如,功能,应对技能).
- 退伍军人实现了功能和应对目标,但并不总是实现症状减少目标.
- 大多数退伍军人接受MBC,但更喜欢对功能,福祉和创伤理解的措施,而不是PCL-5症状尺度.
结论:
- PCL-5可能会加强一些退伍军人的不适应性认知,影响他们对MBC的接受性.
- 符合功能和健康目标的患者报告的结果措施可以提高MBC参与度.
- 应更好地实施现有的心理测量合理措施,并为PTSD护理中的特定目标/结果领域开发新的尺度.
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