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远程护理在精神健康中的应用:对 COVID-19 大流行期间焦虑症状和酒精消费的影响。

Telenursing in mental health: effect on anxiety symptoms and alcohol consumption during the COVID-19 pandemic.

机构信息

Universidade de São Paulo, Escola de Enfermagem, São Paulo, SP, Brasil.

Universidade de Guarulhos, Guarulhos, SP, Brasil.

出版信息

Rev Lat Am Enfermagem. 2023 Jun 2;31:e3932. doi: 10.1590/1518-8345.6172.3932. eCollection 2023.

Abstract

OBJECTIVE

(1) A remote intervention with a positive impact on reducing anxiety and alcohol use. (2) Nursing as a protagonist of preventive care in mental health (3) A low-cost intervention that covers several population groups. (4) Telenursing in mental health as a care strategy during COVID-19. to investigate the effect of a remote intervention on anxiety symptoms and alcohol use in users of the Primary Health Care service.

METHOD

a quasi-experimental study conducted with 1,270 participants who answered the Alcohol Use Disorders Identification Test and the State-Trait Anxiety Inventory-6. Of these, 1,033 interviewees scored for moderate/severe anxiety symptoms (STAI-6 > 3) and moderate/severe risk alcohol use (AUDIT-C > 3), and received the interventions via telephone calls with follow-up periods lasting seven and 180 days. For data analysis, a mixed-effects regression model was used.

RESULTS

the effect of the intervention performed was positive in reducing anxiety symptoms between T0 and T1 (µ=1.6, p<0.001) and in reducing the alcohol use pattern between T1 and T3 (µ=1.57, p<0.001).

CONCLUSION

the follow-up results suggest a positive effect of the intervention in reducing anxiety and the alcohol use pattern, which tends to be maintained over time. There is diverse evidence that the intervention proposed can be an alternative for preventive care in mental health, in situations where accessibility of the user or the professional is compromised.

摘要

目的

(1)一种对降低焦虑和饮酒量有积极影响的远程干预措施。(2)护理作为精神卫生预防保健的主角。(3)一种覆盖多个人群的低成本干预措施。(4)新冠疫情期间,远程护理作为精神卫生保健的一种策略。旨在调查远程干预对初级保健服务使用者的焦虑症状和饮酒量的影响。

方法

一项准实验研究,共纳入了 1270 名参与者,他们回答了酒精使用障碍识别测试和状态-特质焦虑量表-6。其中,1033 名受访者有中度/重度焦虑症状(STAI-6 > 3)和中度/重度危险饮酒(AUDIT-C > 3),通过电话接受干预,并进行为期 7 天和 180 天的随访。采用混合效应回归模型进行数据分析。

结果

干预的效果是积极的,可降低 T0 和 T1 之间的焦虑症状(µ=1.6,p<0.001)和 T1 和 T3 之间的饮酒模式(µ=1.57,p<0.001)。

结论

随访结果表明,干预措施在降低焦虑和饮酒模式方面有积极的效果,且这种效果随着时间的推移而保持。有多种证据表明,所提出的干预措施可以作为精神卫生预防保健的一种替代方法,适用于用户或专业人员无法获得帮助的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/939f/10243443/7e64789905b6/1518-8345-rlae-31-e3932-en-f1.jpg

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