法医心理健康的共享评估和管理的定量结果:一个元分析和系统审查
Mimosa Luigi1,2, Xavier Larochelle2,3, Anne G Crocker2,3
1McGill University, Montreal, QC, Canada.
Trauma, violence & abuse
|June 26, 2025
概括
法医心理健康 (FMH) 用户报告参与度较低. 这一元分析量化了临床医生和用户对需求和进展的共识,发现了可以改善协作护理讨论的显著差异.
科学领域:
- 法医心理健康 法医心理健康
- 临床心理学 临床心理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 领先的心理健康模型主张用户参与,但法医心理健康 (FMH) 设置由于风险厌恶和法律任务而扎.
- 之前的研究强调了FMH共享方法的定性益处,并开发了自我评价评估工具,但定量协议和对护理的影响仍然不清楚.
研究的目的:
- 在FMH中对临床医生和用户评级之间的相关性进行元分析.
- 评估暴力自我评级的预测有效性.
- 检查共享风险管理对FMH暴力和限制率的影响.
主要方法:
- 在2024年4月之前,对五个数据库进行了系统搜索.
- 包括专注于成人FMH住院患者的研究,共享风险/需求评估或暴力管理干预,以及定量结果.
- 为了分析,保留了15项定量评估,包括临床医生-用户对联t测试和临床建议.
主要成果:
- 一个显著和大型随机效应的元分析显示,跨工具的配对标准差异为0.95 (95% CI = [.49, 1.42]).
- 在DUNDRUM-3,DUNDRUM-4和CANFOR子模型中观察到显著的差异.
- 临床医生通常比用户评价更多的需求和较小的进步,这表明观念的定量差异.
结论:
- 在FMH中,临床医生和用户之间的需求和进展评级的定量差异是有根据的.
- 自我评价对于启动关于FMH治疗需求和进展的合作讨论是有价值的.
- 需要进一步的研究来解决量化护理结果的证据差距,并标准化协议措施.
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