患者参与法医心理健康护理:一个范围审查
Junqiang Zhao1,2,3, Stephanie Junes4, Christopher Canning4,5
1Waypoint Centre for Mental Health Care, Penetanguishene, Ontario, Canada junqiangzhao0904@gmail.com.
BMJ mental health
|September 30, 2025
概括
患者参与法医心理健康护理面临多层次障碍. 解决这些问题需要协调努力,改善研究,实践和政策,以获得更好的患者结果.
科学领域:
- 法医心理健康 法医心理健康
- 患者参与 患者参与
- 医疗保健研究 医疗保健研究
背景情况:
- 自1999年以来,关于患者参与法医心理健康 (FMH) 护理的研究一直在增长.
- 研究集中在高收入国家,主要使用定性设计.
研究的目的:
- 审查关于患者参与FMH的研究现状.
- 为未来的FMH研究,实践和政策制定提供信息.
主要方法:
- 在多个数据库 (Medline,Embase,CINHAL,PsycINFO,EBSCO) 进行系统的文献搜索,直到2024年6月.
- 包括来自7010个检索记录的73项研究,补充了灰色文献和评论.
- 包含的研究的描述性和叙事性分析.
主要成果:
- 研究重点是风险评估,康复和干预措施,男性患者被诊断为精神分裂症,人格障碍或物质使用障碍占主导地位.
- 参与水平通常涉及"参与"和"合作",护士是主要的员工参与者.
- 确定了多层次的障碍 (患者,员工,流程,组织,社会政治) 和战略,包括面向康复的护理模式.
结论:
- 多层次的障碍阻碍了患者参与FMH,需要政策制定者,领导者,专业人士和患者的协作努力.
- 需要加强对参与边缘化人口和来自低收入和中等收入国家的个人的关注.
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