Lee Sang Min, Lee Hee Young, Lee Mi Kyung, Kim Sunju, Lee Sorae, Lee Hae-Woo, Park Eun Jin, Sim Minyoung, Paik Jong-Woo
Department of Psychiatry, School of Medicine, Kyung Hee University, Seoul, Republic of Korea.
Center for Preventive Medicine and Public Health, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
Psychiatry Investig. 2019 Feb;16(2):130-138. doi: 10.30773/pi.2018.11.14. Epub 2019 Feb 21.
It is necessary to develop new guidelines to delineate the best ways of providing psychosocial care to ensure mental health following a disaster.
This study applied the scoping review method as a means of establishing evidence-based guidelines for disaster mental health services. A total of 440 literatures were selected through a scoping review of 20,864 documents. Twenty-three recognized experts were invited to participate in the survey and a two-round online Delphi survey was conducted.
The concordance rate in the Delphi Round 1 was 95.1%. Six items were excluded and new items were formulated with experts' suggestions. A total of 23 statements were slightly modified to clarify their meaning. In the Delphi Round 2, all items were met with consensus. The three items with the highest consensus among the experts were related to the protection of personal information and privacy. The item with the lowest consensus among experts was related to debriefing. Other items were related to establishing mental health support centers and suicide prevention activities.
140 items were developed through scoping reviews based on evidence-based methodology. These items were used to describe the disaster mental health support identified in Delphi. The guideline will provide a foundation for effective preparation and response in disaster situations.
有必要制定新的指南,以勾勒出提供心理社会护理的最佳方式,以确保灾难后的心理健康。
本研究采用范围综述方法,作为为灾难心理健康服务建立循证指南的一种手段。通过对20864份文献进行范围综述,共筛选出440篇文献。邀请了23位公认的专家参与调查,并进行了两轮在线德尔菲调查。
第一轮德尔菲调查的一致率为95.1%。排除了6个项目,并根据专家建议制定了新的项目。共对23条陈述进行了轻微修改,以澄清其含义。在第二轮德尔菲调查中,所有项目均达成共识。专家中共识度最高的三个项目与个人信息和隐私保护有关。专家中共识度最低的项目与汇报有关。其他项目与建立心理健康支持中心和自杀预防活动有关。
通过基于循证方法的范围综述制定了140个项目。这些项目用于描述德尔菲调查中确定的灾难心理健康支持。该指南将为灾难情况下的有效准备和应对提供基础。