患者抑郁和焦虑的查和管理:质量改善研究
Imane Injar1, Mark Keezer1,2, Samuel Lapalme-Remis1,2
1https://ror.org/0410a8y51Centre de Recherche du CHUM (CRCHUM), 900 St-Denis Street, Montreal, QC, Canada.
概括
在患者中进行抑郁和焦虑的例行查有效地识别了那些有需要的人. 然而,只有不到一半的阳性查导致了管理,突出显示了护理方面的差距.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 临床医学 临床医学
背景情况:
- 经常伴随着抑郁和焦虑.
- 国际抗联盟建议对这些疾病进行常规查.
- 一个特定的诊所在2016年使用NDDI-E,BAI和GAD-7问卷进行了查.
研究的目的:
- 在病诊所审查常规抑郁和焦虑查的临床经验.
- 评估积极查结果的结果和随后的干预措施.
主要方法:
- 从2018年1月到2020年3月,对2253个已完成的查问卷进行了回顾性审查.
- 在查结果呈阳性后,病学家采取的行动的分析.
主要成果:
- 36%的患者的查结果为抑郁症,焦虑症或两者都呈阳性.
- 对抑郁症 (NDDI-E ≥16),焦虑症 (BAI ≥22) 的比率为12.3%,对GAD (GAD-7 >7) 的比率为30.3%.
- 只有36%的阳性查患者接受了干预,58%的患者被转介给精神卫生专业人员.
结论:
- 常规查成功检测出相当一部分患者患有抑郁症和/或焦虑症.
- 在查阳性和获得有效管理之间存在很大的差距.
- 有效的干预措施和改善对心理健康专业人员的接触是至关重要的,以补充治疗中的常规查.
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