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英国精神健康社会处方服务的服务使用者观点:系统评价。

Service user perspectives on social prescribing services for mental health in the UK: a systematic review.

机构信息

School of Health and Life Sciences, Teesside University, Tees Valley TS1 3BX, UK.

Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK.

出版信息

Perspect Public Health. 2023 May;143(3):135-144. doi: 10.1177/17579139231170786.

Abstract

AIM

To thematically synthesise adult service users' perspectives on how UK-based social prescribing services support them with their mental health management.

METHODS

Nine databases were systematically searched up to March 2022. Eligible studies were qualitative or mixed methods studies involving participants aged ⩾ 18 years accessing social prescribing services primarily for mental health reasons. Thematic synthesis was applied to qualitative data to create descriptive and analytical themes.

RESULTS

51,965 articles were identified from electronic searches. Six studies were included in the review ( = 220 participants) with good methodological quality. Five studies utilised a link worker referral model, and one study a direct referral model. Modal reasons for referral were social isolation and/or loneliness ( = 4 studies). Two analytical themes were formulated from seven descriptive themes: (1) person-centred care was key to delivery and (2) creating an environment for personal change and development.

CONCLUSIONS

This review provides a synthesis of the qualitative evidence on service users' experiences of accessing and using social prescribing services to support their mental health management. Adherence to principles of person-centred care and addressing the holistic needs of service users (including devoting attention to the quality of the therapeutic environment) are important for design and delivery of social prescribing services. This will optimise service user satisfaction and other outcomes that matter to them.

摘要

目的

对英国基于社会处方服务的成年服务使用者的观点进行主题综合分析,了解这些服务如何帮助他们管理心理健康。

方法

系统检索了截至 2022 年 3 月的 9 个数据库。合格的研究是涉及主要因心理健康原因接受社会处方服务的年龄在 18 岁及以上的参与者的定性或混合方法研究。对定性数据应用主题综合方法创建描述性和分析性主题。

结果

从电子检索中确定了 51965 篇文章。本综述纳入了 6 项研究(共有 220 名参与者),这些研究具有良好的方法学质量。五项研究采用了联络工作者转介模式,一项研究采用了直接转介模式。转介的主要原因是社会孤立和/或孤独(四项研究)。从七个描述性主题中制定了两个分析性主题:(1)以患者为中心的护理是交付服务的关键;(2)创造个人改变和发展的环境。

结论

本综述对服务使用者在获得和使用社会处方服务以支持其心理健康管理方面的经验进行了定性证据的综合分析。坚持以人为本的护理原则和满足服务使用者的整体需求(包括关注治疗环境的质量)对于社会处方服务的设计和提供至关重要。这将优化服务使用者的满意度和其他对他们重要的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fc9/10226005/e980a5cd2b80/10.1177_17579139231170786-fig1.jpg

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