与肌肉骨创伤患者的精神病学咨询相关的因素
Sean T Campbell1, Joost T P Kortlever2,3, Amanda M Franciscus4
1Department of Orthopaedic Surgery, Stanford University Medical Center, Stanford, CA, USA.
Journal of patient experience
|November 15, 2024
概括
肌肉骨外科医生更有可能为创伤患者推心理咨询,这些患者有严重的心理健康问题,如精神病或自杀倾向,而不仅仅是悲伤. 合作可以改善这些患者的综合护理.
科学领域:
- 精神病学是一个精神病学.
- 整形外科 整形外科 整形外科
- 创伤护理 创伤护理
背景情况:
- 肌肉骨创伤患者往往存在复杂的心理健康需求.
- 早期识别和干预精神伴随性疾病可能会影响康复.
- 外科医生在启动精神科咨询中的作用需要进一步了解.
研究的目的:
- 确定影响肌肉骨外科医生对创伤患者精神病咨询建议的因素.
- 探索特定的患者变量和促使手术转诊的精神疾病.
主要方法:
- 进行了一项基于在线调查的实验.
- 肌肉骨外科医生 (n=243) 和咨询联络精神科医生 (n=18) 评估了5种假设的患者场景.
- 参与者表示,基于随机患者变量,是否建议精神病学咨询.
主要成果:
- 与推咨询相关的因素包括年轻的患者年龄,精神病史,抗精神病药物的使用,以及涉及精神病,自杀倾向,戒毒幻觉或受损同意的场景.
- 悲伤本身并没有显著影响咨询建议.
- 外科医生的建议受到表现出的精神症状严重程度的影响.
结论:
- 肌肉骨外科医生在推咨询时考虑严重的精神疾病.
- 外科医生和精神病学家之间的合作对于全面的创伤患者护理至关重要.
- 应优先解决迫切的心理健康需求,包括精神病和自杀倾向,以后可能对情绪或焦虑症状产生影响,从而影响恢复.
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