在SARS-CoV-2感染后,退伍军人心理健康紧急护理的利用
Jason I Chen1,2, Meike Niederhausen1,3, David P Bui1
1Center to Improve Veteran Involvement in Care, VA Portland Health Care System (HCS), Portland, Oregon, USA.
Health services research
|June 6, 2025
概括
感染SARS-CoV-2 (导致COVID-19的病毒) 的退伍军人经历了需要心理健康紧急护理的风险增加48%. 这凸显了COVID-19感染后心理健康支持的重要性.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 心理健康服务研究 心理健康服务研究
背景情况:
- 随着COVID-19大流行,人们对长期健康后果,包括心理健康影响,产生了担忧.
- 了解SARS-CoV-2感染后心理健康紧急护理利用的风险对于医疗保健规划至关重要.
研究的目的:
- 为了确定感染SARS-CoV-2的退伍军人与未感染的个人相比,需要心理健康紧急护理 (MHEC) 的风险更高.
- 量化SARS-CoV-2感染和随后的MHEC利用之间的关联.
主要方法:
- 通过使用退伍军人卫生管理局 (VHA) 数据进行了一项全国性回顾性队列研究.
- 用一个目标试验模拟框架来分析长期结果.
- 未感染的退伍军人与感染SARS-CoV-2的退伍军人根据人口统计,临床因素和医疗保健利用情况进行了匹配.
主要成果:
- 这项研究包括超过20万名感染SARS-CoV-2的退伍军人和超过100万名未感染的比较者.
- 在感染后365天内使用MHEC的发生率在SARS-CoV-2组显著更高 (危险比率=1.48).
- 在SARS-CoV-2患者的所有分析时间框架中,观察到MHEC使用的风险更高.
结论:
- SARS-CoV-2 感染与增加对心理健康紧急护理的需求有关.
- 加强对现有精神健康状况的退伍军人的护理协调可能有助于缓解感染后的痛苦.
- 建议进行进一步的研究,以确定导致MHEC使用的特定因素,如护理连续性.
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