心理咨询中的频繁使用者:在急诊室进行了为期6年的回顾性研究
Carla Maria Gramaglia1,2, Eleonora Gambaro1,2, Alessandro Feggi1
1Department of Translational Medicine, University of Eastern Piedmont, Via Solaroli, 17, 28100 Novara, Italy.
概括
频繁的精神科急诊室 (ER) 访问与未婚,年轻,无家可归,精神分裂症或物质使用障碍有关. 需要有针对性的干预措施来改善社区的支持和这些人的护理连续性.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 心理健康问题的急诊室 (ER) 访问正在增加,给医疗保健系统带来压力.
- 识别经常使用精神病急救诊所的用户对于资源分配和干预计划至关重要.
研究的目的:
- 分析预测频繁精神科急救诊所咨询的社会人口和临床因素.
- 为了确定在Maggiore della Carità大学医院使用精神病急救服务的人的特征.
主要方法:
- 从2017-2022年进行的回顾性观察研究.
- 从医院数据库中包含所有精神病学咨询.
- 常见用户的定义是每年至少3次ER咨询.
- 应用单变量和多变量逻辑回归模型.
主要成果:
- 在1565人中,92人 (5.88%) 被确定为频繁使用者.
- 经常使用ER的预测因素包括:未婚状态 (aOR 1.35),年轻年龄 (aOR 1.32),无家可归,精神分裂症诊断,物质使用障碍 (aOR 1.49) 和精神药物治疗 (aOR 1.56).
结论:
- 经常使用精神科ER与特定的社会人口和临床因素有关.
- 需要有针对性的干预措施,以加强对高风险个体的护理连续性和社区支持.
- 改善社区服务可能会减少对紧急精神病治疗的依赖.
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