社会心理筛查、住院治疗和处置规划:临床医生的观点。

Alyssa Chong, Punit Virk, Quynh Doan
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引用次数: 0

摘要

目的:我们的目的是探究临床医生对 MyHEARTSMAP 筛查报告的看法;该报告是否对他们的患者护理产生了影响,如果产生了影响,又是如何影响的。MyHEARTSMAP 是一种针对青少年的社会心理自我筛查工具,用于识别心理健康问题:我们开展了一项横断面研究,作为 MyHEARTSMAP 住院随机对照试验的子研究。符合条件的临床医生(护理过我们合作专科的患者并在患者病历中看到过 MyHEARTSMAP 报告的护士和医生)通过调查提供了他们对筛查报告的看法:65 名临床医生参与了调查;60 名临床医生(92.3%;95% CI 85.8-98.8%)认为社会心理筛查是有益的,其中许多人认为它有助于与患者/家属建立融洽关系并提供更多心理健康信息。37 名临床医生(56.9%;95% CI 44.9-69%)曾阅读或使用过 MyHEARTSMAP 报告,其中 31 名临床医生(83.8%;95% CI 71.9-95.7%)认为该报告很有帮助。临床医生特别认为该报告有助于与患者沟通,并指导以患者为中心的护理:临床医生对 MyHEARTSMAP 报告的看法是积极的。虽然临床医生认为社会心理筛查是有益的,但要提高筛查结果的利用率,就必须探索更好地获取筛查结果的方案。
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Psychosocial screening, in-patient care, and disposition planning: Clinicians' perspectives.

Objective: Our objective was to explore clinicians' views on the MyHEARTSMAP screening report; whether this report has impacted their patient care, and if so, how. MyHEARTSMAP is a psychosocial self-screening tool for youth to identify mental health concerns.

Methods: We conducted a cross-sectional study as a sub-study of the MyHEARTSMAP In-Patient randomized control trial. Eligible clinicians (nurses and physicians who have cared for patients in one of our partnered specialties and have seen a MyHEARTSMAP report in their patients' charts) provided their perceptions of the screening report through a survey.

Results: Sixty-five clinicians were enrolled; 60 (92.3%; 95% CI 85.8-98.8%) believe psychosocial screening is beneficial, with many finding it helpful for building rapport with patients/families and providing additional mental health information. Thirty-seven clinicians (56.9%; 95% CI 44.9-69%) had previously read or used the MyHEARTSMAP report, and 31 (83.8%; 95% CI 71.9-95.7%) of these clinicians found the report helpful. Clinicians specifically found the report helpful for communicating with the patient, and guiding patient-centered care.

Conclusion: Clinicians' perceptions towards the MyHEARTSMAP report were positive amongst those who had previously encountered it. While clinicians believe psychosocial screening is beneficial, exploring options for better accessibility to the screening results is necessary to increase utilization.

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