双重诊断患者的混合和亲自护理:在COVID-19公共卫生期间的利用模式和对退学的影响
Marta Narváez-Camargo1, Cinta Mancheño-Velasco1, Carmen Díaz-Batanero1,2
1Department of Clinical and Experimental Psychology, University of Huelva, Huelva, Spain.
Journal of dual diagnosis
|March 8, 2026
概括
混合护理,结合远程医疗和面对面治疗,显著降低了物质使用障碍和心理健康状况患者的学率. 这种方法可以提高这个弱势群体的治疗持续性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 成 药物 药物 药物 药物
- 心理健康服务 心理健康服务
背景情况:
- 随着COVID-19大流行,人们加速采用远程医疗服务来治疗同时出现精神健康问题 (双重诊断) 的物质使用障碍 (SUD) 患者.
- 对于这种人群,混合护理模式 (面对面和远程医疗) 的有效性和利用的证据有限.
- 了解混合护理的影响对于优化治疗策略至关重要.
研究的目的:
- 分析双重诊断患者在流行病前,流行病前和流行病后期间的混合治疗 (远程医疗和面对面) 的利用情况.
- 评估混合护理对治疗中断率的影响.
- 在这个患者群体中确定治疗中断的预测因素.
主要方法:
- 对6365名SUD和并发性精神疾病的门诊患者进行了回顾性观察性研究 (2018年3月-2023年9月).
- 按治疗方式 (个人或混合) 和护理时间进行分类.
- 两变统计和考克斯回归分析,以确定学预测因素.
主要成果:
- 混合护理的使用在大流行期间激增,并在大流行后仍然很高.
- 接受混合护理的患者出现了明显较低的学率和更长的治疗持续时间.
- 混合护理成为减少治疗中断的最强有力的预测因素.
结论:
- 混合护理模式可以改善双重诊断患者的治疗保留率.
- 维持和优化远程医疗选择对于这一高风险群体至关重要,超出了流行病限制.
- 综合护理机构的退学率也较低.
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