识别严重精神疾病患者的初级保健质量指标:系统综述
发布时间：2019-03-14 17:24
【摘要】：背景严重精神疾病(SMI)包括长期症状,如精神分裂症、双相情感障碍和其他精神疾病,其对患者和社会均会造成巨大损失。在许多国家,SMI患者仅在初级保健机构进行治疗并对身体护理有着特别的需求。目的通过系统地回顾文献,探讨与SMI患者相关的可用常规数据进行检测的质量指标,以期用于监测或提升初级保健质量。设计与场所结合质量指标数据库和指南,系统回顾文献。方法作者评估了质量指标是否可以使用常规数据和证据质量进行检测。结果从1 847份论文和27个质量指标数据库中,确定出涵盖6个领域的59个质量指标。其中,52个质量指标可以使用常规数据进行评估。支撑这些质量指标的证据基础相对较弱,并且其主要是基于专家意见而不是试验证据。结论在符合初级保健和二级保健相关职责要求的情况下,不同环境下酌情使用质量指标可以改善护理情况,提高SMI患者身心健康。然而,将质量指标应用于监测或提升初级保健质量前,需要和患者建立更强有力的联系并改善患者状况。
[Abstract]:Background Severe mental disorders (SMI) include long-term symptoms, such as schizophrenia, bipolar disorder and other psychiatric disorders, which will cause great loss to both the patient and society. In many countries, SMI patients are treated only in primary health care institutions and have a particular need for physical care. Objective To evaluate the quality of primary health care by systematically reviewing the literature and exploring the quality of quality of the available conventional data associated with SMI patients. Design and place combination quality index database and guide, systematic review literature. Methods The authors assessed whether the quality index could be tested using conventional data and the quality of the evidence. As a result,59 quality indicators covering 6 areas were identified from 1,847 papers and 27 quality index databases. Of these,52 quality indicators can be evaluated using conventional data. The evidence base for supporting these quality indicators is relatively weak and is based primarily on expert advice rather than experimental evidence. Conclusion The use of quality indicators in different settings can improve the condition of nursing and improve the physical and mental health of SMI patients with the requirements of primary health care and secondary health care. However, the application of quality indicators to the monitoring or promotion of primary health quality requires a more powerful contact with the patient and the improvement of the patient's condition.
【分类号】：R749
本文编号：2440196
[Abstract]:Background Severe mental disorders (SMI) include long-term symptoms, such as schizophrenia, bipolar disorder and other psychiatric disorders, which will cause great loss to both the patient and society. In many countries, SMI patients are treated only in primary health care institutions and have a particular need for physical care. Objective To evaluate the quality of primary health care by systematically reviewing the literature and exploring the quality of quality of the available conventional data associated with SMI patients. Design and place combination quality index database and guide, systematic review literature. Methods The authors assessed whether the quality index could be tested using conventional data and the quality of the evidence. As a result,59 quality indicators covering 6 areas were identified from 1,847 papers and 27 quality index databases. Of these,52 quality indicators can be evaluated using conventional data. The evidence base for supporting these quality indicators is relatively weak and is based primarily on expert advice rather than experimental evidence. Conclusion The use of quality indicators in different settings can improve the condition of nursing and improve the physical and mental health of SMI patients with the requirements of primary health care and secondary health care. However, the application of quality indicators to the monitoring or promotion of primary health quality requires a more powerful contact with the patient and the improvement of the patient's condition.
【分类号】：R749
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1 周淑新;;WONCA研究论文摘要汇编(二)——初级保健疲劳病人的跟踪诊断[J];中国全科医学;2010年04期
2 孟祥斌,王国才;刍议我国精神卫生初级保健[J];中国初级卫生保健;1994年02期
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