在澳大利亚重症监护病房中,心理学家主导的查和基于模块的心理干预的发展和可行性:试点研究
Jessica M Hampton1, Elizabeth C Ward2, Lynette Morrison3
1Logan & Beaudesert Health Service, Metro South Health, QLD, Australia; The University of Queensland, School of Psychology, Brisbane, QLD, Australia.
概括
这项试点研究探讨了澳大利亚重症监护室 (ICU) 患者的心理学家主导的干预. 虽然招聘面临挑战,但患者参与度很高,这表明未来在重症监护中提供心理支持的可行性.
科学领域:
- 关键护理医学 关键护理医学
- 心理学 心理学 心理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在重症监护室 (ICU) 患者中,心理困扰很普遍,可能导致长期不良结果.
- 早期的心理干预可以减轻这些影响,但它们在重症监护机构的可行性尚未得到充分探索.
- 由于劳动力和融合问题,心理学家在澳大利亚提供这些干预措施中的作用需要澄清.
研究的目的:
- 为澳大利亚的ICU开发一个由心理学家领导的查和干预协议.
- 评估这种干预措施的初步可行性.
- 评估未来临床试验的潜在结果措施.
主要方法:
- 利用医学研究委员会的框架进行复杂的健康干预.
- 开发了一个模块化,应急量身定制的心理干预,用于澳大利亚大都会的ICU.
- 进行了一项单臂前性试点研究,对30名被招募的患者进行了评估,通过招募,参与和结果完成评估可行性.
主要成果:
- 招聘是具有挑战性的,因为低资格选率,人员配置和同意障碍.
- 观察到患者参与度很高,有96%的同意参与者完成了至少一个干预组件.
- 结果测量完成支持试验可行性,初步数据表明减少了负面情绪影响.
结论:
- 心理学家主导的ICU干预是可行的,但需要改进,以改善招聘和简化交付.
- 早期的心理干预显示了提高ICU患者情感福祉的潜力.
- 解决人员和同意问题对于未来的试验可访问性和有效性至关重要.
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