加强心理健康护理:一个问题,资源和目标导向的多维框架 (PRoGO)
Stefan Leucht1,2, Bernhard König3, Antonio di Francesco4,5
1Department of Psychiatry and Psychotherapy, Klinikum Rechts Der Isar, Technical University of Munich, TUM School of Medicine and Health, Ismaningerstrasse 22, 81675, Munich, Germany. Stefan.Leucht@tum.de.
面向问题的医疗记录 (POMR) 为心理健康护理提供了一个理想的框架,提高了结果和患者满意度. 为了有效的跨学科治疗,建议采用问题 - 资源 - 目标导向框架 (PRoGO) 等适应方法.
科学领域:
- 医疗信息学 医疗信息学
- 精神病学是一个精神病学.
- 医疗保健管理的管理
背景情况:
- 以问题为导向的医疗记录 (POMR) 方法,强调患者的问题,在20世纪70年代获得了吸引力.
- 在POMR和传统的基于来源的记录之间存在有限的比较研究,特别是在心理健康方面.
研究的目的:
- 审查POMR对心理健康护理的适当性.
- 为了确定在精神病学环境中对POMR的必要修改.
主要方法:
- 进行了叙事审查.
- 该审查审查了POMR在心理健康中的应用和适应.
主要成果:
- 精神健康障碍,以症状和综合征为特征,与POMR的基于问题的结构保持一致.
- 通过围绕患者为中心的问题组织护理,POMR促进了跨学科的合作,与基于源的孤立方法不同.
- 心理健康护理受益于POMR专注于患者的目标和资源,而不仅仅是赤字.
结论:
- 系统地应用POMR,与跨学科治疗,可以改善临床/功能结果和满意度.
- 拟议的问题 - 资源 - 目标导向框架 (PRoGO) 将POMR调整为心理健康.
- 需要进行临床试验来验证精神病学实践中的POMR/PRoGO.
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