教育干预对改变卫生保健从业者在治疗边缘型人格障碍患者方面的态度和实践的影响：综合评价。
The impact of educational interventions on modifying health practitioners' attitudes and practice in treating people with borderline personality disorder: an integrative review.
机构信息
Discipline of Public Health, College of Medicine and Public Health, Flinders University, Adelaide, South Australia, 5001, Australia.
Discipline of Behavioural Health, College of Medicine and Public Health, Flinders University, Adelaide, South Australia, 5001, Australia.
出版信息
Syst Rev. 2022 May 30;11(1):108. doi: 10.1186/s13643-022-01960-1.
BACKGROUND
The rising prevalence of Borderline Personality Disorder (BPD) and suicidality represents substantial health burden worldwide. People with BPD experience high rates of crisis presentations and stigma when accessing health services. Educational interventions designed to modify health practitioners' attitudes and practice in treating people with BPD may assist in addressing this stigma. The current review aimed to identify and explore existing educational interventions designed to modify health practitioners' attitudes and practice in BPD; and determine what impact educational interventions have on improving health practitioners' responses towards people with BPD.
METHODS
A comprehensive search of the literature was undertaken in MEDLINE, CINAHL, PsycINFO, Scopus, Cochrane Library, and JBI Evidence-Based databases (from inception to February 2022). Secondary sources of literature included grey literature searches and handsearching the references of included studies as part of the comprehensive search strategy. The eligibility criteria included peer-reviewed empirical studies examining BPD-related educational interventions aimed at modifying health practitioners' attitudes and practice in treating people with BPD. Quality appraisal of the included studies were completed using the Mixed Methods Appraisal Tool 2018 version (MMAT v.18) or the Joanna Briggs Institute (JBI) Checklist for Systematic Reviews and Research Syntheses Tool. Thematic Analysis informed data extraction, analysis, interpretation, and narrative synthesis of the data.
RESULTS
A total of nine papers containing 991 participants across a diverse range of studies including, quantitative, qualitative, mixed methods, and a systematic review were included in this integrative review. Several BPD-related educational interventions designed to modify health practitioners' attitudes and practice in BPD exist. Findings suggest that training health practitioners in BPD-related educational interventions can enhance positive attitudes and change practice towards people with BPD; however, more high-quality studies are needed to confirm these conclusions.
CONCLUSIONS
This review collated and summarized findings from studies examining the impact of BPD-related educational interventions on changing health practitioners' attitudes and practice in treating this population. Results from this review may help inform future research, policy, and practice in stigma-reduction strategies which would improve the delivery of responsive health services and care for people with BPD.
SYSTEMATIC REVIEW REGISTRATION
Open Science Framework ( https://osf.io/7p6ez/ ).
背景
边缘型人格障碍（BPD）和自杀率的上升在全球范围内构成了巨大的健康负担。患有 BPD 的人在获得卫生服务时会出现高频率的危机表现和耻辱感。旨在改变卫生保健专业人员治疗 BPD 患者的态度和实践的教育干预措施可能有助于解决这种耻辱感。本综述旨在确定和探讨旨在改变卫生保健专业人员治疗 BPD 患者的态度和实践的现有教育干预措施；并确定教育干预措施对改善卫生保健专业人员对 BPD 患者的反应有何影响。
方法
对 MEDLINE、CINAHL、PsycINFO、Scopus、Cochrane 图书馆和 JBI 循证数据库（从成立到 2022 年 2 月）进行了全面的文献搜索。文献的次要来源包括灰色文献搜索和作为全面搜索策略的一部分，对纳入研究的参考文献进行手工搜索。纳入标准包括同行评议的实证研究，研究内容为旨在改变卫生保健专业人员治疗 BPD 患者的态度和实践的 BPD 相关教育干预措施。使用混合方法评估工具 2018 版（MMAT v.18）或 Joanna Briggs 研究所（JBI）系统评价和研究综合工具对纳入研究进行质量评估。主题分析用于数据提取、分析、解释和数据的叙述性综合。
结果
这项综合审查共纳入了 9 篇论文，共涉及 991 名参与者，研究范围广泛，包括定量、定性、混合方法和系统评价。存在几种旨在改变卫生保健专业人员治疗 BPD 的态度和实践的 BPD 相关教育干预措施。研究结果表明，培训卫生保健专业人员进行 BPD 相关教育干预措施可以增强对 BPD 患者的积极态度并改变实践；然而，还需要更多高质量的研究来证实这些结论。
结论
本综述汇集并总结了研究 BPD 相关教育干预措施对改变卫生保健专业人员治疗该人群的态度和实践的影响的研究结果。本综述的结果可能有助于为减少耻辱感的策略提供未来的研究、政策和实践信息，从而改善对 BPD 患者的响应性卫生服务和护理。
系统评价注册
Open Science Framework（https://osf.io/7p6ez/）。
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