初级保健环境中，护理从业者为心理健康状况患者提供的护理的有效性：系统评价。
The effectiveness of nurse practitioner care for patients with mental health conditions in primary care settings: A systematic review.
机构信息
School of Nursing, Columbia University, New York, NY.
Feinberg School of Medicine, Northwestern University, Chicago, IL.
出版信息
Nurs Outlook. 2023 Jul-Aug;71(4):101995. doi: 10.1016/j.outlook.2023.101995. Epub 2023 Jun 19.
Abstract
BACKGROUND
The nurse practitioner (NP) workforce is key to meeting the demand for mental health services in primary care settings.
PURPOSE
The purpose of this study is to synthesize the evidence focused on the effectiveness of NP care for patients with mental health conditions in primary care settings, particularly focused on primary care NPs and psychiatric mental health NPs and patients with anxiety, depression, and substance use disorders.
METHODS
Studies published since 2014 in the United States studying NP care of patients with anxiety, depression, or substance use disorders in primary care settings were included.
FINDINGS
Seventeen studies were included. Four high-quality studies showed that NP evidence-based care and prescribing were comparable to that of physicians. Seven low-quality studies suggest that NP-led collaborative care is associated with reduced symptoms.
DISCUSSION
More high-quality evidence is needed to determine the effectiveness of NP care for patients with mental health conditions in primary care settings.
摘要
背景
护士从业者（NP）队伍是满足初级保健环境中心理健康服务需求的关键。
目的
本研究旨在综合关注初级保健环境中 NP 护理对心理健康状况患者的有效性的证据，特别关注初级保健 NP 和精神心理健康 NP 以及焦虑、抑郁和物质使用障碍患者。
方法
纳入了自 2014 年以来在美国发表的研究，这些研究调查了初级保健环境中 NP 对焦虑、抑郁或物质使用障碍患者的护理。
结果
纳入了 17 项研究。四项高质量研究表明，NP 的循证护理和处方与医生相当。七项低质量研究表明，NP 主导的协作护理与症状减轻相关。
讨论
需要更多高质量的证据来确定 NP 对初级保健环境中心理健康状况患者的护理效果。
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