综合护理的身心健康结果:研究的系统回顾。

IF 1.2 4区 医学 Q3 FAMILY STUDIES
Rylan B Hellstern, Angela L Lamson, Jakob F Jensen, Matthew P Martin, Ray H Hylock
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引用次数: 0

摘要

背景:综合初级保健(IPC)是一种拟议的替代卫生保健概念,旨在通过结合生物、心理和社会领域的治疗来增加获得保健和促进整体健康。与传统的卫生保健提供方法相比,为了巩固IPC的重要性,结果测量对于支持患者护理的这种转变可以改善整体健康的说法至关重要。本系统综述旨在了解IPC环境中涉及身心健康结果的文献。方法:在PsycINFO, Embase和PubMed数据库中进行系统搜索,确定了符合我们预定标准的2,729项研究。如果研究处于符合IPC定义的环境中,并对其身心健康指标进行跟踪,则将其纳入研究。结果:总共有42项筛选研究符合我们的标准,代表了大约28种不同的IPC模型,每个模型采用不同的团队成员来提供干预措施。15项研究发现身体和心理健康结果均有改善,而其他研究仅注意到身体(n = 4)或心理健康结果(n = 15)的改善。在发现两种结果都有所改善的15项研究中,抑郁症和糖尿病是最常同时改善的两种。结论:本综述发现了IPC环境改善生物学和心理结果的证据,与任何其他身体或精神健康状况相比,相当多的人显示抑郁症状减轻。仍然需要继续努力测量同时存在的身体和精神健康状况,以便在改善整体卫生保健系统方面取得进展。(PsycInfo Database Record (c) 2025 APA,版权所有)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Physical and mental health outcomes of integrated care: Systematic review of study.

Background: Integrated primary care (IPC) is a proposed alternative concept to health care aimed at increasing access to care and promoting holistic health by combining treatment for biological, psychological, and social domains. To solidify the importance of IPC compared to traditional methods of health care delivery, outcome measurement is essential to bolster the claim that such a shift in patient care can improve holistic health. This systematic review sought to understand the literature accounting for both physical and mental health outcomes in IPC settings.

Method: Systematic searches within PsycINFO, Embase, and PubMed databases identified 2,729 studies that fit our predetermined criteria. Studies were included if they were within a setting that met our definition of IPC and tracked for both physical and mental health indicators.

Results: In total, 42 screened studies fit our criteria with approximately 28 distinct IPC models represented, each employing different team members to deliver interventions. Fifteen studies found improvements in both physical and mental health outcomes, while others only noted improvement in physical (n = 4) or mental health outcomes (n = 15) alone. Of the 15 studies that found improvement in both outcomes, depression and diabetes were the two that improved together most frequently.

Conclusions: This review found evidence of IPC settings improving both biological and psychological outcomes, with a considerable number demonstrating depressive symptom reduction in comparison to any other physical or mental health condition. Continuing efforts are still needed to measure concurrent physical and mental health conditions to make progress toward improved holistic health care systems. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

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来源期刊
Families Systems & Health
Families Systems & Health HEALTH CARE SCIENCES & SERVICES-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
CiteScore
1.50
自引率
7.70%
发文量
81
审稿时长
>12 weeks
期刊介绍: Families, Systems, & Health publishes clinical research, training, and theoretical contributions in the areas of families and health, with particular focus on collaborative family healthcare.
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