一个简短的基于网络的以个人为中心的护理小组培训计划,用于管理泛性焦虑症:西班牙随机对照试验的可行性
Vanesa Ramos-García1,2,3,4, Amado Rivero-Santana1,3,4, Wenceslao Peñate-Castro2
1Canary Islands Health Research Institute Foundation, Santa Cruz de Tenerife, Spain.
JMIR medical education
|January 17, 2025
概括
这项研究表明,一项简短的培训计划显著改善了初级保健专业人员对一般性焦虑症患者共享决策 (SDM) 的态度. 由于样本规模较小,需要进一步研究.
科学领域:
- 医学教育 医学教育
- 主要护理是指初级护理.
- 心理健康 心理健康
背景情况:
- 共享决策 (SDM) 对于以患者为中心的护理至关重要.
- 对SDM培训的有效性评估是有限的,特别是对于像通用焦虑症 (GAD) 这样的精神健康状况.
研究的目的:
- 评估一个简短的培训计划对初级保健专业人员对SDM的态度的可行性和影响.
- 专注于与被诊断患有泛性焦虑障碍的患者工作的专业人员.
主要方法:
- 与初级保健专业人员进行了一项可行性随机对照试验.
- 参与者被随机分配到干预组 (基于网络的SDM培训) 或对照组 (等待名单).
- 利兹对协同度的态度 (LATCon II) 衡量了基线和3个月对SDM的态度.
主要成果:
- 与对照组相比,干预组在总LATCon II分数和沟通/同理心和共享控制的子尺度上显著改善.
- 对照组在接受干预后也表现出显著的改善.
- 一个小样本大小 (28个随机,23个完成基线) 是一个限制.
结论:
- 该培训计划对初级保健专业人员对SDM的态度产生了积极的影响.
- 招聘和保留策略需要为未来的有效性试验增强.
- 由于研究的局限性,需要进一步的研究来证实这些发现.
相关概念视频
01:30Generalized Anxiety Disorder
45
Generalized Anxiety Disorder (GAD) is a chronic condition characterized by excessive and uncontrollable worry that persists for at least six months, significantly interfering with daily functioning. Unlike situational anxiety, which arises in response to specific stressors, GAD often occurs without a clear cause. Individuals may experience disproportionate worry about work, health, or relationships. For instance, a person might continuously fear poor health despite normal medical evaluations or...
45
01:28Social Anxiety Disorder
22
Social anxiety disorder, also known as social phobia, is characterized by an intense fear of social situations where one might face humiliation, rejection, embarrassment, or negative evaluation. This disorder leads individuals to avoid activities like casual conversations, public speaking, or seemingly simple tasks such as eating, signing documents, or swimming, in public settings. Its impact extends beyond discomfort, often significantly interfering with daily functioning and quality of life.
22
01:24Treatment Strategies for Psychological Disorders
83
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
83
01:18Anxiety: Overview
242
Anxiety is a common mental disorder featuring excessive worry, fear, and apprehension, significantly affecting daily life. People with anxiety disorders experience persistent and intense anxiety, interrupting their everyday functioning.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
242
01:22Behavior Therapy
40
Behavior therapy incorporates diverse techniques rooted in classical conditioning principles to address maladaptive behaviors and anxiety disorders. These methods aim to reduce avoidance behaviors, foster adaptive coping mechanisms, and alter associations between stimuli and responses, making them effective in a wide range of therapeutic contexts.
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
40
01:27Panic Disorder
30
Panic disorder is an anxiety disorder characterized by recurrent and sudden minutes-long episodes of intense fear, known as panic attacks. These attacks may feel like heart attacks and often happen without warning or a specific cause. They can include symptoms such as rapid heart rate, shortness of breath, chest pain, trembling, sweating, dizziness, and a sense of helplessness. During a panic attack, individuals may feel as though they are experiencing a heart attack or are in a...
30