严重精神疾病的心理健康服务:随机对照试验的范围审查
Pablo Roson Rodriguez1, Xiao Chen2, Marcelo Arancibia3
1Research Department, Cochrane Argentina Associate Centre-Instituto Universitario Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Nursing open
|January 4, 2025
概括
本综述对精神卫生服务的随机对照试验进行了严重精神疾病的分类. 研究结果强调需要更好地报告复杂的干预措施,以指导未来的研究和实践.
科学领域:
- 精神病学和心理健康服务研究研究
- 证据的综合和分类.
- 卫生服务和研究成果研究成果
背景情况:
- 严重精神疾病 (SMI) 需要广泛的心理健康服务 (MHS).
- 随机对照试验 (RCT) 对于评估MHS的有效性至关重要.
- 科克莱恩精神分裂症小组 (CSzG) 维护有关RCT的专业注册.
研究的目的:
- 为了对SMI患者的MHS进行RCT的现有证据进行分类.
- 在CSzG专用注册中组织和分类服务级干预.
- 确定MHS中SMI的缺口,并为未来的研究优先事项提供信息.
主要方法:
- 使用了一个范围审查方法.
- 专注于精神卫生保健的非药物,服务级干预的RCT从CSzG注册表中获取并选.
- 基于DESDE-LTS分类的定制数据提取表格被用于绘制RCT特征图.
主要成果:
- 包括233个RCT,其中大多数来自中国 (58%),北美 (24%) 和欧洲 (11%).
- 分类包括门诊援助 (34%),电子健康 (22%),住院服务 (19%),信息/评估 (17%),日间服务/门诊护理 (16%),获得护理 (8%) 和出院服务 (7%).
- 自助和自愿帮助服务占包括在试验中的4%.
结论:
- 有大量的RCT证据存在于MHS和SMI.
- 试验分类的挑战源于复杂干预特征的报告不足.
- 开发的数据库和分类系统可以指导系统性审查的规划和优先级,以满足利益相关者的需求.
- 这些发现特别适用于心理健康护理,影响实践,教育和研究.
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