【摘要】：背景嚴(yán)重精神疾病(SMI)包括長期癥狀,如精神分裂癥、雙相情感障礙和其他精神疾病,其對患者和社會均會造成巨大損失。在許多國家,SMI患者僅在初級保健機(jī)構(gòu)進(jìn)行治療并對身體護(hù)理有著特別的需求。目的通過系統(tǒng)地回顧文獻(xiàn),探討與SMI患者相關(guān)的可用常規(guī)數(shù)據(jù)進(jìn)行檢測的質(zhì)量指標(biāo),以期用于監(jiān)測或提升初級保健質(zhì)量。設(shè)計與場所結(jié)合質(zhì)量指標(biāo)數(shù)據(jù)庫和指南,系統(tǒng)回顧文獻(xiàn)。方法作者評估了質(zhì)量指標(biāo)是否可以使用常規(guī)數(shù)據(jù)和證據(jù)質(zhì)量進(jìn)行檢測。結(jié)果從1 847份論文和27個質(zhì)量指標(biāo)數(shù)據(jù)庫中,確定出涵蓋6個領(lǐng)域的59個質(zhì)量指標(biāo)。其中,52個質(zhì)量指標(biāo)可以使用常規(guī)數(shù)據(jù)進(jìn)行評估。支撐這些質(zhì)量指標(biāo)的證據(jù)基礎(chǔ)相對較弱,并且其主要是基于專家意見而不是試驗證據(jù)。結(jié)論在符合初級保健和二級保健相關(guān)職責(zé)要求的情況下,不同環(huán)境下酌情使用質(zhì)量指標(biāo)可以改善護(hù)理情況,提高SMI患者身心健康。然而,將質(zhì)量指標(biāo)應(yīng)用于監(jiān)測或提升初級保健質(zhì)量前,需要和患者建立更強(qiáng)有力的聯(lián)系并改善患者狀況。
[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.
【分類號】：R749

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