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临床实践指南建议改善成年创伤患者的心理健康:系统评价议定书。

Clinical practice guideline recommendations to improve the mental health of adult trauma patients: protocol for a systematic review.

机构信息

Population Health and Optimal Practices Research Unit Research Unit (Trauma-Emergency-Critical Care Medicine), CHU de Québec-Université Laval Research Centre, Québec, Quebec, Canada

Faculty of Nursing, Université Laval, Québec City, Quebec, Canada.

出版信息

BMJ Open. 2024 Mar 25;14(3):e079205. doi: 10.1136/bmjopen-2023-079205.

Abstract

INTRODUCTION

Mental disorders are common in adult patients with traumatic injuries. To limit the burden of poor psychological well-being in this population, recognised authorities have issued recommendations through clinical practice guidelines (CPGs). However, the uptake of evidence-based recommendations to improve the mental health of trauma patients has been low until recently. This may be explained by the complexity of optimising mental health practices and interpretating CGPs scope and quality. Our aim is to systematically review CPG mental health recommendations in the context of trauma care and appraise their quality.

METHODS AND ANALYSIS

We will identify CPG through a search strategy applied to Medline, Embase, CINAHL, PsycINFO and Web of Science databases, as well as guidelines repositories and websites of trauma associations. We will target CPGs on adult and acute trauma populations including at least one recommendation on any prevention, screening, assessment, intervention, patient and family engagement, referral or follow-up procedure related to mental health endorsed by recognised organisations in high-income countries. No language limitations will be applied, and we will limit the search to the last 15 years. Pairs of reviewers will independently screen titles, abstracts, full texts, and carry out data extraction and quality assessment of CPGs using the Appraisal of Guidelines Research and Evaluation (AGREE) II. We will synthesise the evidence on recommendations for CPGs rated as moderate or high quality using a matrix based on the Grading of Recommendations Assessment, Development and Evaluation quality of evidence, strength of recommendation, health and social determinants and whether recommendations were made using a population-based approach.

ETHICS AND DISSEMINATION

Ethics approval is not required, as we will conduct secondary analysis of published data. The results will be disseminated in a peer-reviewed journal, at international and national scientific meetings. Accessible summary will be distributed to interested parties through professional, healthcare quality and persons with lived experience associations. PROSPERO REGISTRATION NUMBER: (ID454728).

摘要

简介

精神障碍在创伤后成年患者中较为常见。为了减轻这一人群不良心理健康的负担,权威机构已通过临床实践指南(CPG)提出建议。然而,直到最近,将循证建议用于改善创伤患者心理健康的做法才有所增加。这可能是由于优化心理健康实践以及解释 CPG 范围和质量的复杂性所致。我们的目的是系统地回顾创伤护理中 CPG 的心理健康建议,并评估其质量。

方法和分析

我们将通过一项搜索策略来确定 CPG,该策略将应用于 Medline、Embase、CINAHL、PsycINFO 和 Web of Science 数据库,以及指南库和创伤协会的网站。我们将针对包括至少一项有关精神卫生的预防、筛查、评估、干预、患者和家属参与、转介或随访程序的成人和急性创伤人群的 CPG 进行目标定位,这些程序得到高收入国家的认可组织的认可。我们不会对语言进行限制,并将搜索范围限制在过去 15 年。两名评审员将独立筛选标题、摘要、全文,并使用评估指南研究和评估 (AGREE) II 对 CPG 进行数据提取和质量评估。我们将根据基于 Grading of Recommendations Assessment, Development and Evaluation 质量证据、推荐强度、健康和社会决定因素以及是否使用基于人群的方法制定建议的矩阵,对质量评为中等或高的 CPG 的建议进行证据综合。

伦理与传播

不需要伦理批准,因为我们将对已发表数据进行二次分析。研究结果将发表在同行评审的期刊上,并在国际和国家科学会议上进行报告。将通过专业、医疗保健质量和有经验的人协会向感兴趣的各方分发易懂的摘要。PROSPERO 注册号:(ID454728)。

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