在患有双脊椎脊柱的个体中使用行为健康护理的最后手段
Emily C Hacker1, Nathan Vander Veer-Harris2, Debbie Goldberg1
1University of California, San Francisco, San Francisco, CA, USA.
Archives of physical medicine and rehabilitation
|December 29, 2025
概括
脊柱裂 (SB) 患者面临更高的风险,需要最后的行为健康护理 (LRBH) 使用. 社会人口统计学因素影响了SB人口中的LRBH访问,突出了针对性干预的需求.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 临床医学 临床医学
背景情况:
- 脊柱裂 (SB) 是一种复杂的先天性疾病,通常与显著的医疗保健需求有关.
- 了解行为医疗利用模式对于SB患者至关重要.
研究的目的:
- 为了比较与脊椎分裂症 (SB) 和匹配的非SB对照者之间的精神健康和物质使用障碍的最后手段行为健康护理 (LRBH) 使用情况.
- 在SB群体中确定LRBH利用的预测因素.
主要方法:
- 加利福尼亚州卫生保健部获取和信息数据 (2005-2017) 的分析.
- 住院和急诊部 (ED) 行为健康利用与SB和匹配非SB对照 (1:5比) 个体之间的比较.
- 多变量后勤回归评估LRBH使用概率,调整共变量.
主要成果:
- 患有SB的个体表现出较高的LRBH遭遇 (每患者5.1比2.7) 和独立相关的风险增加 (aOR1.49).
- 在SB组中,更高的并发病率,女性性别和非私人保险预测了使用率的增加.
- 某些种族/族裔群体和较低社会经济地位的地区与护理几率下降有关.
结论:
- 与对照人群相比,SB个体的LRBH利用风险明显更高.
- 社会人口统计学因素是SB人口中LRBH护理的重要预测因素.
- 研究结果表明,需要采取预防性行为健康干预措施,针对SB人群中确定的风险因素.
相关概念视频
Autism Spectrum Disorder
892
Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
892
Behavior Modification
513
Behavioral approaches have often been criticized for ignoring mental processes and focusing solely on observable behavior. However, these approaches provide an optimistic perspective for individuals seeking to change their behaviors. Rather than concentrating on intrinsic personality traits, behavioral approaches suggest that even longstanding habits can be modified by changing the reward contingencies that maintain them.
A real-world application of operant conditioning principles is applied...
A real-world application of operant conditioning principles is applied...
513
Specialized Care Centers and Settings-II
1.2K
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
1.2K
Specialized Care Centers and Settings-I
1.4K
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
1.4K
Healthcare Associated Infections II: Preventive Measures
3.5K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
3.5K


