医生对爱丁堡产后抑郁症筛查的依从性

R. Linfield, Lindsay Marty, O. Myrick
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引用次数: 0

摘要

简介:作为高容量门诊产科中心质量改进计划的一部分,获得了一项干预前绩效指标,以确定医生是否坚持提供爱丁堡产后抑郁筛查(EPDS),该筛查可识别围产期情绪和焦虑症患者。方法:这是一项回顾性的图表回顾,在一个大型城市地区的学术教师团体门诊诊所进行了6个月的研究。在妊娠24-28周和产后6-8周,根据标准办公室方案确定了提供者对EPDS筛查和文件的依从性。患者人群仅限于2021年1月至2021年6月在指定办公室进行产后就诊并在同一地点接受产前护理的患者。结果:445例患者符合入选标准,在选定的时间框架内接受产前和产后护理。在产前,只有55%的患者接受了正确的EPDS评分,12%的患者接受了筛查,但评分没有记录,33%的患者没有接受抑郁症筛查。产后,只有60%的患者接受了正确的EPDS评分,16%的患者接受了筛查,但评分没有记录,24%的产后就诊没有包括抑郁症筛查。结论:本研究强调需要加强医生教育和有针对性地改变工作流程,以优先考虑产前和产后患者的抑郁症筛查。进一步的趋势将强调需要有针对性的教育干预措施或需要更多关注的特定患者群体,以确保进行筛查。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Provider Adherence to Edinburgh Postnatal Depression Screening [ID: 1375752]
INTRODUCTION: As part of a quality improvement initiative at a high-volume, outpatient obstetric center, a preintervention performance metric was obtained that determined physician adherence to providing the Edinburgh Postnatal Depression Screen (EPDS), which identifies patients with perinatal mood and anxiety disorders. METHODS: This was a retrospective chart review conducted over a 6-month period at the outpatient offices of an academic faculty group practice in a large, urban area. Provider adherence to EPDS screening and documentation was identified as per the standard office protocol—at both 24–28 weeks of gestation and 6–8 weeks postpartum. Patient population was limited to those who presented to their postpartum visit at the designated offices from January 2021 to June 2021 and received antenatal care through this same location. RESULTS: Four hundred forty-five patients met the inclusion criteria for receiving both antenatal and postpartum care within the selected time frame. Antenatally, only 55% of patients received a properly scored EPDS, 12% of patients were screened but the scores were not documented, and 33% of encounters did not include depression screening. Postpartum, only 60% of patients received a properly scored EPDS, 16% of patients were screened but the scores were not documented, and 24% of postpartum encounters did not include depression screening. CONCLUSION: This study emphasizes the need for increased physician education and targeted changes to workflow with respect to prioritizing depression screens for patients in antenatal and postpartum periods. Further trends will highlight the need for targeted education interventions or specific patient populations that require more attention to ensure screening is performed.
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