一般医疗专业人员对被诊断患有精神疾病的患者心血管风险评估的观点:一种嵌入式混合方法研究
Nandakumar Ravichandran1, Niamh Murphy1, John Broughan2
1School of Medicine, https://ror.org/05m7pjf47University College Dublin, Dublin, Ireland.
在一般实践中,对患有精神疾病的患者进行心血管疾病 (CVD) 风险评估通常是机会主义的. 需要有结构的方法和增强的支持,以便在这个人群中系统地管理心血管疾病风险.
科学领域:
- 一般实践一般实践
- 公共卫生 公共卫生
- 心脏病学 心脏病学
背景情况:
- 心血管疾病 (CVD) 是全球主要的死亡原因.
- 患有精神健康障碍 (MHD) 的人面临患心血管疾病的风险更高.
- 在了解心血管疾病风险管理和预防策略方面存在差距,对于患有MHD的全科医生患者来说.
研究的目的:
- 调查爱尔兰通用医疗专业人员对MHD患者心血管风险评估的看法.
- 描述目前使用心理健康寻找器 (MHF) 工具识别MHD患者的方法.
主要方法:
- 一个嵌入式混合方法设计,结合了构造主义的基础理论和社会生态模型.
- 从五种一般实践中对MHF工具的可用性和使用情况的汇总数据的分析.
- 与12名全科医生和3名实践护士进行的半结构面试,使用专题分析进行分析.
主要成果:
- 使用MHF工具的实践报告了较高的MHD患病率 (18.7%) 与没有 (0.5-11.5%) 的实践相比.
- 定性发现揭示了MHD患病率,MHD-CVD风险关联,MHD患者的CVD风险管理和整体护理的主题.
- 系统地识别患有MHD的患者对于准确的流行数据至关重要.
结论:
- 一般实践中对MHD患者的CVD风险评估和管理目前是机会主义的,缺乏结构.
- 一般实践专业人士强调需要有结构的框架,协议和改进的支持系统.
- 系统的心血管评估和管理对于患有MHD的患者至关重要.
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