在成人急诊室患者中进行心理健康症状查:一项跨部门研究
Jacob Langkiet1, Elizabeth Hutzel-Dunham1, Jennifer L Brown2
1Department of Emergency Medicine, The Ohio State University College of Medicine, Columbus, Ohio, USA.
Journal of the American College of Emergency Physicians open
|January 26, 2026
概括
超过一半的急诊室患者表现出焦虑,抑郁或PTSD的症状. 常规查可以帮助识别心理健康需求,并将患者与护理联系起来.
科学领域:
- 紧急医疗 紧急医疗
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 心理健康症状显著影响医疗保健结果和利用率.
- 紧急诊所 (ED) 经常遇到患有精神疾病的患者,但常规查不一致.
- 在ED中未被认可的心理健康问题可能会导致患者的治疗结果较差.
研究的目的:
- 为了估计成年ED患者焦虑,抑郁和创伤后应激障碍 (PTSD) 症状的患病率.
- 利用经过验证的查工具,在非危机环境中评估心理健康状况.
- 描述研究样本中的人口特征和健康的社会决定因素.
主要方法:
- 从3个城市学术EDs的1305名成年患者的横截面数据的二次分析.
- 雇员验证的调查工具:PROMIS焦虑简单表格8a,情绪困扰抑郁简单表格8a和初级保健PTSD简单表格.
- 衡量的主要结局是对精神健康症状升高呈阳性查的患者比例.
主要成果:
- 超过一半的ED患者 (54.1%) 至少有一种心理健康状况的查结果呈阳性.
- 患病率:焦虑症 (46.9%),抑郁症 (36.8%) 和创伤后应激障碍 (21.9%).
- 超过三分之一 (36.6%) 的查结果为两个或两个以上的疾病呈阳性,这表明心理健康负担很大.
结论:
- 很大一部分急诊室患者表现出常见心理健康状况的症状升高.
- 调查结果强调需要在ED患者中进行系统的,简短的心理健康查.
- 实施查可以促进识别需要心理健康资源和干预措施的患者.
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