网站首页期刊介绍通知公告编 委 会投稿须知电子期刊广告合作联系我们
最新消息:
出院准备服务在精神疾病患者中应用的最佳证据总结
作者:申鲁霞1  时忠丽2  高英莉3  张霞4  张艳5  马群6 
单位:1. 山东中医药大学 护理学院, 山东 济南 250355;
2. 济宁医学院 护理学院, 山东 济宁 272067;
3. 山东第二医科大学 护理学院, 山东 潍坊 261000;
4. 济宁市第一人民医院 护理部, 山东 济宁 272011;
5. 山东省戴庄医院 护理部, 山东 济宁 272000;
6. 济宁医学
关键词:出院准备服务 精神疾病 证据总结 循证护理学 
分类号:R473.74
出版年·卷·期(页码):2024·52·第三期(476-483)
摘要:

目的:评价并总结出院准备服务在精神疾病患者中应用的最佳证据。方法:按“6S”金字塔模型系统检索国内外各指南网、相关协会网站和数据库中关于出院准备服务在精神疾病患者中应用的证据。结果:共纳入10篇文献,其中包括指南1篇、证据总结1篇、技术报告1篇、系统评价7篇,最终总结了22条精神疾病患者出院准备服务的证据,包括出院准备服务的基本原则、参与人员、服务内容3个方面。结论:本研究在精神疾病患者出院准备服务方面为医护人员提供了一定的循证依据,在证据应用时应针对患者的具体情况及临床实际情境,为精神疾病患者提供个性化、高质量的护理。

Objective: To evaluate and summarize the best evidence for the use of discharge planning in patients with mental illness.Methods: The “6S” evidence model was used to systematically search for evidence on the use of discharge planning for patients with mental illness in national and international guideline networks, relevant association websites and databases.Results: A total of 10 articles were included, including 1guideline, 1 evidence summary, 1 technical report, and 7 systematic reviews. The final report summarizes 22 pieces of evidence on discharge planning for people with mental illness, including the basic principles of discharge planning, team members, and service content.Conclusion: This study provides a certain evidence-based basis for healthcare professionals in terms of discharge planning for patients with mental illness, and the application of evidence should be tailored to the specific patient and the actual clinical situation to provide personalized, high-quality care for patients with mental illness.

参考文献:

[1] SMITH T E,HASELDEN M,CORBEIL T,et al.Factors associated with discharge planning practices for patients receiving inpatient psychiatric care[J].Psychiatr Serv,2021,72(5):498-506.
[2] PHALEN P,MILLER R,FRAMPTON B,et al.Peer support for discharge from inpatient mental health care[J].Lancet Psychiatry,2022,9(7):541-542.
[3] CHUNG D T,RYAN C J,HADZI-PAVLOVIC D,et al.Suicide rates after discharge from psychiatric facilities:a systematic review and Meta-analysis[J].JAMA psychiatry,2017,74(7):694-702.
[4] DONISI V,TEDESCHI F,SALAZZARI D,et al.Pre-and post-discharge factors influencing early readmission to acute psychiatric wards:implications for quality-of-care indicators in psychiatry[J].Gen Hosp Psychiatry,2016,39:53-58.
[5] RIERA-MOLIST N,RIERA-MORERA B,ROURA-POCH P,et al.A brief psychoeducation intervention to prevent rehospitalization in severe mental disorder inpatients[J].Nerv Ment Dis,2023,211(1):40-45.
[6] GONÇALVES-BRADLEY D C,LANNIN N A,CLEMSON L,et al.Discharge planning from hospital[J].Cochrane Database Syst Rev,2022,2(2):CD000313.
[7] 孙超,奚桓,李峥,等.老年患者出院准备服务专家共识(2019版)[J].中华护理杂志,2020,55(2):220-227.
[8] ÅDNANES M,CRESSWELL-SMITH J,MELBY L,et al.Discharge planning,self-management,and community support:strategies to avoid psychiatric rehospitalisation from a service user perspective[J].Patient Educ Couns,2020,103(5):1033-1040.
[9] 邢唯杰,胡雁,周英凤,等.推动证据向临床转化(六)证据总结的制作与撰写[J].护士进修杂志,2020,35(12):1129-1132.
[10] DICENSO A,BAYLEY L,HAYNES R B.Accessing pre-appraised evidence:fine-tuning the 5S model into a 6S model[J].Evid Based Nurs,2009,12(4):99-101.
[11] 韦当,王聪尧,肖晓娟,等.指南研究与评价(AGREEⅡ)工具实例解读[J].中国循证儿科杂志,2013,8(4):316-319.
[12] FOSTER M J,SHURTZ S.Making The critical appraisal for summaries of evidence(CASE) for evidence-based medicine(EBM):critical appraisal of summaries of evidence[J].J Med Libr Assoc,2013,101(3):192-198.
[13] 顾莺,张慧文,周英凤,等.JBI循证卫生保健中心关于不同类型研究的质量评价工具——系统评价的方法学质量评价[J].护士进修杂志,2018,33(8):701-703.
[14] 朱欢欢,卢璇,王婷婷,等.医疗机构老年人预防跌倒环境管理的最佳证据总结[J].军事护理,2023,40(3):23-26.
[15] 王春青,胡雁.JBI证据预分级及证据推荐级别系统(2014版)[J].护士进修杂志,2015,30(11):964-967.
[16] National Institute for Health and Care Excellence.Transition between inpatient mental health settings and community or care home settings[EB/OL].(2016-08-30)[2023-5-10].https://www.nice.org.uk/guidance/ng53.
[17] The Joanna Briggs Institute(JBI).Discharge planning:mental health care[EB/OL].(2022-06-09) [2023-5-10].http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=jbi&NEWS=N&AN=JBI7319.
[18] Effective Health Care(EHC) Program.Management strategies to reduce psychiatric readmissions[EB/OL].(2015-05-21)[2023-5-10].https://effectivehealthcare.ahrq.gov/products/psychiatric-readmissions/technical-brief.
[19] O'CONNELL P H,DURNS T,KIOUS B M.Risk of suicide after discharge from inpatient psychiatric care:a systematic review[J].Int J Psychiatry Clin Pract,2021,25(4):356-366.
[20] PETKARI E,KASELIONYTE J,ALTUN S,et al.Involvement of informal carers in discharge planning and transition between hospital and community mental health care:a systematic review[J].J Psychiatr Ment Health Nurs,2021,28(4):521-530.
[21] MUTSCHLER C,LICHTENSTEIN S,KIDD S A,et al.Transition experiences following psychiatric hospitalization:a systematic review of the literature[J].Community Ment Health J,2019,55(8):1255-1274.
[22] TYLER N,WRIGHT N,WARING J.Interventions to improve discharge from acute adult mental health inpatient care to the community:systematic review and narrative synthesis[J].BMC Health Serv Res,2019,19(1):883.
[23] 刘莹璎,杨敏,丁慧,等.出院计划对精神疾病患者康复效果的Meta分析[J].中国心理卫生杂志,2019,33(12):893-899.
[24] VIGOD S N,KURDYAK P A,DENNIS C L,et al.Transitional interventions to reduce early psychiatric readmissions in adults:systematic review[J].Br J Psychiatry,2013,202(3):187-194.
[25] STEFFEN S,KÖSTERS M,BECKER T,et al.Discharge planning in mental health care:a systematic review of the recent literature[J].Acta Psychiatr Scand,2009,120(1):1-9.
[26] XIAO S,TOURANGEAU A,WIDGER K,et al.Discharge planning in mental healthcare settings:a review and concept analysis[J].Int J Ment Health Nurs,2019,28(4):816-832.
[27] HAMLINE M Y,SPEIER R L,VU P D,et al.Hospital-to-home interventions,use,and satisfaction:a Meta-analysis[J].Pediatrics,2018,142(5):e20180442.
[28] BACKER T E,HOWARD E A,MORAN G E.The role of effective discharge planning in preventing homelessness[J].J Prim Prev,2007,28(3-4):229-243.
[29] 国务院办公厅.国务院办公厅关于印发“十四五”国民健康规划的通知[J].中华人民共和国国务院公报,2022(16):17-31.
[30] Royal College of Physicians.Future hospital programme:delivering the future hospital [EB/OL].(2017-11-23)[2023-5-10].http://www.rcplondon.ac.uk/projects/future-hospital-programme-delivering-future-hospital.
[31] Health Direct.Hospital discharge planning[EB/OL].(2022-05-16) [2023-5-10].https://www.health direct.gov.au/hospital-discharge-planning.
[32] MENNUNI M,GULIZIA M M,ALUNNI G,et al.ANMCO Position Paper:hospital discharge planning:recommendations and standards[J].Eur Heart J Suppl,2017,19(Suppl D):D244-D255.
[33] ROSE L E,GERSON L,CARBO C.Transitional care for seriously mentally ill persons:a pilotstudy[J].Arch PsychiatrNurs,2007,21(6):297-308.
[34] NURJANNAH I,MILLS J,USHER K,et al.Discharge planning in mental health care:an integrative review of the literature[J].J Clin Nurs,2014,23(9-10):1175-1185.
[35] 谭靓靓,徐治,封海霞,等.护理风险评估干预在心理精神科半开放式病房中的应用[J].现代医学,2019,47(6):725-727.
[36] ZURLO A,ZULIANI G.Management of care transition and hospital discharge[J].Aging Clin Exp Res,2018,30(3):263-270.
[37] O'KEEFFE D,HICKEY D,LANE A,et al.Mental illness self-management:a randomised controlled trial of the wellness recovery action planning intervention for inpatients and outpatients with psychiatric illness[J].Ir J Psychol Med,2016,33(2):81-92.
[38] KING A J,SIMMONS M B.A systematic review of the attributes and outcomes of peer work and guidelines for reporting studies of peer interventions[J].Psychiatr Serv,2018,69(9):961-977.
[39] Health Education England.Major HEE review recommends ways to develop the mental health nursing workforce[EB/OL].(2022-04-20)[2023-5-18].https://www.hee.nhs.uk/news-blogs-events/news.
[40] 汪晖,王颖,刘于,等.住院患者出院计划关键任务的证据总结[J].中华护理杂志,2020,55(9):1412-1419.
[41] 严芳,姚丰菊,李拴荣,等.同伴支持在社区精神分裂症患者中的应用[J].中华护理杂志,2019,54(10):1545-1550.
[42] 高英莉,张霞,申鲁霞,等.基于随机对照试验的抑郁症自我管理干预的研究进展[J].现代医学,2023,51(5):703-707.
[43] GABET M,CAO Z,FLEURY M J.Profiles,correlates and outcomes among patients experiencing an onset of mental disorder based on outpatient care received following index emergency department visits[J].Can J Psychiatry,2022,67(10):787-801.
[44] SMITH T E,HASELDEN M,CORBEIL T,et al.The effectiveness of discharge planning for psychiatric inpatients with varying levels of preadmission engagement in care[J].Psychiatr Serv,2022,73(2):149-157.
[45] ANDERSON K K,NORMAN R,MACDOUGALL A,et al.Effectiveness of early psychosis intervention:comparison of service users and nonusers in population-based health administrative data[J].Am J Psychiatry,2018,175(5):443-452.
[46] HUNTER J,MAUNDER R,KURDYAK P,et al.Mental health follow-up after deliberate self-harm and risk for repeat self-harm and death[J].Psychiatry Res,2018,259:333-339.
[47] FORTE A,BUSCAJONI A,FIORILLO A,et al.Suicidal risk following hospital discharge:a review[J].Harv Rev Psychiatry,2019,27(4):209-216.
[48] CHUNG D,HADZI-PAVLOVIC D,WANG M,et al.Meta-analysis of suicide rates in the first week and the first month after psychiatric hospitalisation[J].BMJ Open,2019,9(3):e023883.
[49] SWARAJ S,WANG M,CHUNG D,et al.Meta-analysis of natural,unnatural and cause-specific mortality rates following discharge from in-patient psychiatric facilities[J].Acta Psychiatr Scand,2019,140(3):244-264. 欢迎订阅 欢迎投稿

服务与反馈:
文章下载】【发表评论】【查看评论】【加入收藏
提示:您还未登录,请登录!点此登录
您是第 845482 位访问者


 ©《现代医学》编辑部
联系电话:025-83272481;83272479
电子邮件: xdyx@pub.seu.edu.cn

本系统由北京博渊星辰网络科技有限公司设计开发 技术支持电话:010-63361626

苏ICP备09058541