成人住院精神科康复计划的组成部分和有效性:范围审查
Panagiota Giannios1, Fanie Chainey2, Catherine Degré2
1Department of Psychiatry and Addictology, Faculty of Medicine, Université de Montréal, 2900 Bd Édouard-Montpetit, Montréal, QC H3T 1J4, Canada.
Healthcare (Basel, Switzerland)
|November 27, 2025
概括
对于患有严重精神疾病 (SMI) 的成年人来说,住院精神康复治疗显示出积极的结果. 关键组成部分包括心理社会干预和过渡期护理,但需要标准化的措施,以确保恢复的持续有效性.
科学领域:
- 精神病学是一个精神病学.
- 康复医学 康复医学 康复医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 住院精神康复对于患有严重精神疾病 (SMI) 的成年人至关重要,有助于康复和社区融入.
- 这些重要服务的计划结构,交付和评估方法存在显著差异.
- 本范围审查通过绘制成人住院精神科康复的核心组成部分和结果来解决异质性问题.
研究的目的:
- 系统地绘制成人住院精神科康复计划的核心组成部分.
- 识别和综合报告的临床,功能和系统水平的结果.
- 确定与这些康复计划有效性相关的因素.
主要方法:
- 根据PRISMA-ScR指南进行了全面的范围审查.
- 在四个主要数据库 (MEDLINE,Web of Science,PsycINFO,Google Scholar) 进行了系统的搜索,直到2024年.
- 在数据分析中使用了定性主题综合和Joanna Briggs Institute (JBI) 批判性评估工具.
主要成果:
- 包括15项研究,详细介绍了结构化心理社会干预,职业支持,目标设定和过渡性护理的计划.
- 经常报告积极的结果,包括减少再入院,改善功能和提高生活质量.
- 计划的持续时间,多学科团队和退院后的护理连续性影响了有效性,尽管结果测量有很大差异.
结论:
- 有效的住院精神科康复计划具有共同的组成部分,强调心理社会支持和过渡规划.
- 在康复研究中,非常需要标准化的结果测量和忠实性评估.
- 结果为服务规划,政策制定和加强以康复为导向的住院护理提供了指导.
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