Department of Psychiatry, McGill University, Douglas Mental Health University Institute Research Centre Montreal, Montreal, QC, Canada.
Douglas Mental Health University Institute Research Centre Montreal, Montreal, QC, Canada.
Health Qual Life Outcomes. 2023 Oct 26;21(1):116. doi: 10.1186/s12955-023-02200-3.
This study identified profiles associated with quality of life (QoL) and sociodemographic and clinical characteristics of patients using emergency departments (ED) for mental health reasons and associated these profiles with patient service use.
Recruited in four Quebec (Canada) ED networks, 299 patients with mental disorders (MD) were surveyed from March 1st, 2021, to May 13th, 2022. Data from medical records were collected and merged with survey data. Cluster analysis was conducted to identify QoL profiles, and comparison analyses used to assess differences between them.
Four QoL profiles were identified: (1) Unemployed or retired men with low QoL, education and household income, mostly having substance-related disorders and bad perceived mental/physical health conditions; (2) Men who are employed or students, have good QoL, high education and household income, the least personality disorders, and fair perceived mental/physical health conditions; (3) Women with low QoL, multiple mental health problems, and very bad perceived mental/physical health conditions; (4) Mostly women with very good QoL, serious MD, and very good perceived mental/physical health conditions.
The profiles with the highest QoL (4 and 2) had better overall social characteristics and perceived their health conditions as superior. Profile 4 reported the highest level of satisfaction with services used. To improve QoL programs like permanent supportive housing, individual placement and support might be better implemented, and satisfaction with care more routinely assessed in response to patient needs - especially for Profiles 1 and 3, that show complex health and social conditions.
本研究确定了与使用急诊部门（ED）治疗心理健康相关的生活质量（QoL）和社会人口学及临床特征相关的患者特征，并将这些特征与患者服务使用情况相关联。
2021 年 3 月 1 日至 2022 年 5 月 13 日，在魁北克（加拿大）的四个 ED 网络中招募了 299 名患有精神障碍（MD）的患者进行调查。从医疗记录中收集数据并与调查数据合并。进行聚类分析以确定 QoL 特征，并进行比较分析以评估它们之间的差异。
确定了四个 QoL 特征：（1）低 QoL、低教育和低家庭收入的失业或退休男性，主要患有与物质相关的障碍和较差的感知心理/身体健康状况；（2）有工作或学生的男性，高 QoL、高教育和高家庭收入，人格障碍最少，感知心理/身体健康状况良好；（3）低 QoL、多种心理健康问题和非常差的感知心理/身体健康状况的女性；（4）大多数女性具有非常好的 QoL、严重的 MD 和非常好的感知心理/身体健康状况。
QoL 最高的特征（4 和 2）具有更好的整体社会特征，并且认为他们的健康状况更好。特征 4 报告了对使用的服务的最高满意度。为了提高 QoL，可能需要更好地实施永久支持性住房、个体安置和支持等计划，并根据患者的需求更常规地评估护理满意度，特别是对于显示复杂健康和社会状况的特征 1 和 3。
