精神和行为障碍患者的长期慢性疾病:一项数据链接研究
Crystal Man Ying Lee1, Kyran Graham-Schmidt2, Kevin Ek Chai1
1School of Population Health, Curtin University, Perth, WA, Australia.
The Australian and New Zealand journal of psychiatry
|February 6, 2025
概括
许多患有精神障碍的人在早期就会经历身体健康状况. 这凸显了对综合精神和身体健康保健服务的需求.
科学领域:
- 公共卫生 公共卫生
- 心理健康服务研究 心理健康服务研究
- 流行病学 流行病学
背景情况:
- 患有精神障碍的人经常经历并发的身体健康状况.
- 了解物理并发症的流行率和模式对于有效的医疗保健规划至关重要.
研究的目的:
- 在西澳大利亚,调查心理障碍诊断后第一年卫生服务用户的身体健康状况.
- 分析身体伴随性疾病的患病率和趋势,以及它们与医疗保健利用的关联.
主要方法:
- 对18岁以上有记录精神障碍诊断的个人进行非身份化社区心理健康,急诊室 (ED) 和住院记录的分析.
- 在诊断的第一年内识别长期的身体健康状况.
- 估计随着时间的推移使用多项逻辑回归和医疗保健联系人使用通用线性模型来估计共发病率.
主要成果:
- 总共有253,362个人被纳入研究.
- 在诊断的第一年内,至少有一种身体并发症的患病率从2006年的20.0%到2020年的14.5%不等.
- 心血管疾病是最常见的并发症,随着时间的推移,并发症组合的多样性越来越多. 较高的并发症数与ED增加和住院患者接触相关.
结论:
- 很大一部分患有精神障碍的人在医疗保健旅程的早期出现身体并发症.
- 随着身体共同疾病的不断变化的模式,需要实施综合精神和身体健康护理服务.
- 综合性联合服务对于解决精神障碍患者复杂的健康需求至关重要.
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