探索社区中精神疾病患者远程护理的可接受性:实际挑战和所需特征
Nadia Abdel-Halim1, Ronja Kuhn2, Sarah Bourdin2
1Unit for Social and Community Psychiatry, East London NHS Foundation Trust, London, United Kingdom.
Frontiers in psychiatry
|November 19, 2025
概括
患有精神病的人对混合心理健康护理模式持开放态度,将远程和面对面的护理混合在一起. 成功采用需要尊重患者的选择和临床医生的判断,以及量身定制的技术解决方案.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 数字健康数字健康
- 精神病护理 精神病护理
背景情况:
- 患有精神病的人经常经历技术加剧的偏执,数字素养较低.
- 远程精神卫生保健的快速采用,特别是COVID-19后,需要了解用户和临床医生的观点.
- DIALOG+是一种面对面的干预,正在适应远程传递,为这项研究提供了一个案例研究.
研究的目的:
- 探索鼓励和阻止精神病患者使用远程心理健康护理选择的因素.
- 确定临床医生和服务用户采用新型远程干预的要求.
- 了解数字化的增加对精神病患者心理健康服务的影响.
主要方法:
- 进行了9个研讨会重点小组,其中包括17名患有精神病的服务用户和21名临床医生.
- 参与者从城市 (东伦敦) 和农村 (康沃尔) 社区心理健康服务中招募.
- 在记录和转录焦点组后,使用框架方法分析数据.
主要成果:
- 出现了四个主题:远程护理的可接受性,包容性适应性,对治疗关系的影响以及可取的特征.
- 服务用户和临床医生发现远程护理作为混合模式的一部分是可以接受的,而不是完全取代人身护理.
- 关键考虑因素包括患者选择,临床医生的判断,软件设计,培训,设备访问和城市化.
结论:
- 综合远程和面对面护理的混合模式被服务用户和患有精神病的临床医生所偏爱.
- 成功实施取决于尊重患者的自主权和临床判断.
- 未来的远程干预必须解决技术局限性,个人需求以及培训和获取等实际实施因素.
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