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频繁使用急诊部门寻求精神卫生保健的个人:系统检索和综述。

Frequent emergency department use by individuals seeking mental healthcare: a systematic search and review.

机构信息

School of Nursing, Queen's University, Kingston, Ontario, Canada.

出版信息

Arch Psychiatr Nurs. 2013 Aug;27(4):171-8. doi: 10.1016/j.apnu.2013.03.001. Epub 2013 Apr 17.

Abstract

OBJECTIVE

The aim of this study was to compare research on individuals who frequently use the ED for mental health complaints including parameters used to identify the population, as well as socio-demographic, clinical, and service use factors.

METHODS

Systematic search and review of Medline, Cinahl, PsycInfo, and HealthStar (1980 to 2011). Double-data extraction ensured accuracy. Descriptive statistics were reported.

RESULTS

Thirteen studies were included. Median sample size was 100. Parameters varied across studies. Profile: young, unemployed males living in transient accommodations, diagnosis of a psychotic disorder, self-referral to the ED for symptoms/unmet needs, and discharge to community resources.

CONCLUSIONS

Consistently used, meaningful definitions/parameters are needed.

摘要

目的

本研究旨在比较频繁使用急症室(ED)就诊治疗精神健康问题的个体的研究,包括用于识别人群的参数,以及社会人口学、临床和服务使用因素。

方法

系统检索 Medline、Cinahl、PsycInfo 和 HealthStar(1980 年至 2011 年)。双重数据提取确保了准确性。报告了描述性统计数据。

结果

纳入了 13 项研究。中位数样本量为 100。研究中的参数各不相同。特征:年轻、失业、男性,居住在临时住所,诊断为精神障碍,因症状/未满足的需求自我转诊至 ED,出院至社区资源。

结论

需要使用一致、有意义的定义/参数。

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