对第一发精神病的干预方案:一个范围的审查.
Marta Gouveia1,2,3, Tânia Morgado3,4,5,6,7, Tiago Costa3,8,9
1Local Health Unit of Viseu Dão-Lafões, 3504-509 Viseu, Portugal.
Nursing reports (Pavia, Italy)
|January 24, 2025
概括
这一范围审查为首发精神病早期干预计划绘制了地图,在全球范围内发现了各种方法和设置. 调整这些干预措施以适应各种环境对于改善恢复结果至关重要.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 公共卫生干预措施 公共卫生干预措施
- 临床心理学 临床心理学
背景情况:
- 早期干预对于改善第一发精神病的康复结果至关重要.
- 尽管计划扩展,但接入障碍和变化仍然存在.
- 减少未经治疗的精神病的持续时间 (DUP) 是一个关键目标.
研究的目的:
- 为了绘制对第一发精神病的干预计划.
- 识别程序特征,参与者简介和实施背景.
- 为调整干预措施适应各种社会和文化环境提供资源.
主要方法:
- 根据Joanna Briggs Institute (JBI) 的方法进行范围审查.
- 使用了参与者,概念和上下文 (PCC) 框架.
- 包括2002年至2023年间发表的47项研究.
主要成果:
- 在程序特征中发现了显著的多样性,从单组件 (CBT,CRT) 到多组件方法.
- 干预目标包括改善认知功能,应对能力和减少照顾者的负担.
- 节目交付的频率,持续时间和环境 (社区,门诊,医院,家庭) 差异很大.
结论:
- 对第一期精神病的早期干预计划显示出相当大的全球多样性.
- 研究结果强调,需要针对性干预措施,适应不同的社会和文化背景.
- 未来的研究应该专注于优化跨不同环境的干预交付.
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