加强急诊室心理健康危机响应:综合模型的系统审查
Chiko Katiki1, V Jaswitha S Ponnapalli2, Kesha J Desai3
1Emergency Department, American International Medical School, Alpharetta, USA.
Cureus
|December 23, 2024
概括
将精神病医疗整合到紧急服务中可以改善心理健康紧急情况的管理. 协作护理模式,咨询联络团队和远程精神病学可以提高患者的治疗结果和治疗机会.
科学领域:
- 紧急医疗 紧急医疗
- 精神病学是一个精神病学.
- 医疗服务研究 医疗服务研究
背景情况:
- 紧急诊所对心理健康紧急情况至关重要,但往往缺乏足够的精神病学资源.
- 整合精神病治疗对于有效管理严重的心理健康危机至关重要.
研究的目的:
- 系统地审查在紧急情况下综合精神病治疗模式的有效性.
- 分析协作护理模型 (CCM),精神病咨询联络 (C-L) 团队和远程精神病学.
主要方法:
- 2013年至2023年间发表的18项研究的系统审查.
- 搜索的数据库:PubMed,PsycINFO,EMBASE,科克兰图书馆. 搜索的数据库:PubMed,PsycINFO,EMBASE,科克兰图书馆. 搜索的数据库:PubMed,PsycINFO,EMBASE,科克兰图书馆. 搜索的数据库:PubMed,PsycINFO,EMBASE,Cochrane图书馆. 搜索的数据库:PubMed,PsycINFO,EMBASE,Cochrane图书馆. 搜索的数据库:
- 纳入标准侧重于精神病治疗在紧急服务中的整合.
主要成果:
- 综合护理模式显著缩短了住院时间.
- 这些模型改善了患者的治疗结果,并扩大了获得精神病医疗服务的机会,特别是在偏远地区.
- 协作护理,C-L团队和远程精神病学在提高紧急精神病治疗方面显示出有前途.
结论:
- 综合精神病治疗模式在急诊室是有效的.
- 需要进一步研究标准化协议,并解决研究设计异质性和低收入国家的代表性不足等局限性.
- 在ED中实现精神病学整合的实施障碍需要注意.
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