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常规门诊护理中护士主导的心理治疗对精神障碍的自然转归:一项回顾性病历审查。

Naturalistic outcome of nurse-led psychological therapy for mental disorders in routine outpatient care: A retrospective chart review.

作者信息

Yoshinaga Naoki, Tanoue Hiroki, Hayashi Yuta

机构信息

School of Nursing, Faculty of Medicine, University of Miyazaki, 5200 Kihara, Kiyotake, Miyazaki-city, Miyazaki 889-1692, Japan.

School of Nursing, Faculty of Medicine, University of Miyazaki, 5200 Kihara, Kiyotake, Miyazaki-city, Miyazaki 889-1692, Japan.

出版信息

Arch Psychiatr Nurs. 2022 Oct;40:43-49. doi: 10.1016/j.apnu.2022.04.008. Epub 2022 Apr 27.

Abstract

This study aimed to investigate the clinical effectiveness of nurse-led cognitive/behavioral therapy (CBT) in Japanese routine outpatient care. We retrospectively collected data from 100 cases with mental disorders who had received nurse-led CBT. Results demonstrated that CBT provided by nurses led to significant improvements in quality of life and other clinical outcomes during the intervention period (all p < 0.001). Among participants who received optional follow-up, these improvements were well-maintained. This real-world evidence of nurse-led CBT bridges the research-practice gap, and will encourage frontline nurses and motivate institutional/organizational leaders, academic/professional societies, and policymakers to employ empirically-supported psychotherapeutic techniques in routine nursing care.

摘要

本研究旨在调查在日本常规门诊护理中,由护士主导的认知行为疗法(CBT)的临床效果。我们回顾性收集了100例接受护士主导的CBT的精神障碍患者的数据。结果表明,在干预期间,护士提供的CBT使生活质量和其他临床结局有显著改善(所有p<0.001)。在接受了选择性随访的参与者中,这些改善得到了良好维持。护士主导的CBT的这一实际证据弥合了研究与实践之间的差距,并将鼓励一线护士,激励机构/组织领导者、学术/专业团体及政策制定者在常规护理中采用经实证支持的心理治疗技术。

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