改善以个人为中心的抑郁症查和护理在城市信仰社区
Damaris Michoma1, Kimberly Couch2
1Frontier Nursing University, Acclaim Physician Group/John Peter Smith Hospital, Fort Worth, TX, USA damaris.michoma01@frontier.edu.
Journal of doctoral nursing practice
|November 13, 2024
概括
这项质量改进项目加强了抑郁症查和护理,提高了90%的检测,并使28%的客户参与症状管理. 该倡议成功地弥补了心理健康服务的差距.
科学领域:
- 公共卫生 公共卫生
- 心理健康服务 心理健康服务
- 提高质量 提高质量
背景情况:
- 抑郁症是一种普遍存在的精神疾病,与自杀,药物滥用和慢性疼痛的风险增加有关.
- 在美国,未经治疗的抑郁症每年影响2100万成年人,带来重大的社会和经济成本.
- 美国抑郁症的经济负担每年达到3260亿美元.
研究的目的:
- 通过文献审查,业务审计和客户/团队调查,识别抑郁症查和护理方面的差距.
- 通过使用质量改进框架来实施和评估代变化.
- 为改善抑郁症管理提供基于数据的建议.
主要方法:
- 使用了四个快速的计划-做-研究-行动 (PDSA) 质量改进周期.
- 数据收集和分析为查和护理流程的代变化提供了信息.
- 客户和团队成员的反在整个倡议中得到了整合.
主要成果:
- 抑郁症查率在8周内增加了90%,查了317名客户.
- 28%的被查的客户被诊断患有抑郁症,并积极管理他们的症状.
- 该项目实现了提高查和护理结果的89%的目标.
结论:
- 该倡议成功地解决了抑郁症查和护理提供方面的差距.
- 证明了积极的结果,具有可持续性和可扩展性到其他社区的潜力.
- 建议在护理实践中实施抑郁症查,护理和转诊的系统方法.
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