解决在社区环境中实施自我管理计划的实施挑战
Martha Sajatovic1, Peggy Beem Jelley2, Kathy Schrag3
1Department of Psychiatry and of Neurology, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Epilepsy & behavior : E&B
|October 18, 2025
概括
自我管理 (ESM) 计划可以由社会服务机构成功实施. 智能ESM计划改善了患者的健康和生活质量,并证明了其在社区环境中的有效性.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 社会工作 社会工作 社会工作
背景情况:
- 自我管理 (ESM) 计划对于改善患者的治疗结果至关重要.
- 在社区环境中实施ESM带来了独特的挑战和机会.
- 社会服务机构在支持患有慢性疾病的个人方面发挥着至关重要的作用.
研究的目的:
- 描述SMART自我管理 (ESM) 计划在社区社会服务机构中的实施情况.
- 评估SMART ESM计划在发作频率,心理健康和患者生活质量方面的有效性.
主要方法:
- 该SMART ESM计划由三个以为重点的社会服务机构提供.
- 使用发作频率,患者健康问卷 (PHQ-9),患者的生活质量 (QOLIE-10) 和通用焦虑障碍 (GAD-7) 尺度来评估干预前和后的结果.
- 受过培训的护士和同行教育工作者提供了该计划,参与者平均参加了8次会议中的5.7次.
主要成果:
- 在PHQ-9分数 (p=0.026) 和QOLIE-10分数 (p<0.007) 中观察到显著改善,表明更好的心理健康和生活质量.
- 在GAD-7得分或过去30天的发作频率中没有发现显著变化.
- 很大一部分参与者报告了健康困境的社会决定因素,包括住房不安全 (30.3%),粮食不安全 (44.9%) 和财务紧张 (74.2%).
结论:
- 专注于的社会服务机构可以有效地实施ESM计划.
- 智能ESM计划展示了改善患者心理健康和生活质量的潜力.
- 该机构在实施ESM方面的经验可以指导其他社会服务机构在支持患者时提供指导.
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