老年精神病学家对姑息治疗的看法:来自全国调查的结果。

IF 2.9 4区医学 Q2 CLINICAL NEUROLOGY

Journal of Geriatric Psychiatry and Neurology Pub Date : 2024-01-01 Epub Date: 2023-05-09 DOI:10.1177/08919887231175435

Hana Elhassan, Gregg A Robbins-Welty, Jerad Moxley, M Carrington Reid, Daniel Shalev

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引用次数: 0

摘要

目的:患有精神疾病的老年人通常有医学合并症，需要症状管理和影响预后。老年精神科医生在满足此类患者的姑息治疗需求方面具有独特的地位。本研究旨在了解老年精神科患者的姑息治疗需求，以及老年精神科医生对初级姑息治疗技能和亚专科转诊的使用情况。方法:对美国老年精神病学家进行全国性横断面调查研究。结果:受访者(n = 397)报告其患者对姑息治疗的需求很高(46-73%的患者)。受访者报告使用所有领域的姑息治疗在他们的临床实践与不同的舒适度。在多元模型中，只有技能使用频率能预测技能舒适度。受访者指出，三分之一的患者将受益于转诊到专业姑息治疗。结论:老年精神科医生确定了患者对姑息治疗的高需求。他们通过利用初级姑息治疗技能来满足这些需求，并在可能的情况下转诊到亚专科姑息治疗。

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Geriatric Psychiatrists' Perspectives on Palliative Care: Results From A National Survey.

Objectives: Older adults with psychiatric illnesses often have medical comorbidities that require symptom management and impact prognosis. Geriatric psychiatrists are uniquely positioned to meet the palliative care needs of such patients. This study aims to characterize palliative care needs of geriatric psychiatry patients and utilization of primary palliative care skills and subspecialty referral among geriatric psychiatrists.

Methods: National, cross-sectional survey study of geriatrics psychiatrists in the United States.

Results: Respondents (n = 397) reported high palliative care needs among their patients (46-73% of patients). Respondents reported using all domains of palliative care in their clinical practice with varied comfort. In multivariate modeling, only frequency of skill use predicted comfort with skills. Respondents identified that a third of patients would benefit from referral to specialty palliative care.

Conclusions: Geriatric psychiatrists identify high palliative care needs in their patients. They meet these needs by utilizing primary palliative care skills and when available referral to subspecialty palliative care.

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来源期刊

Journal of Geriatric Psychiatry and Neurology 医学-精神病学

CiteScore

6.20

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Journal of Geriatric Psychiatry and Neurology (JGP) brings together original research, clinical reviews, and timely case reports on neuropsychiatric care of aging patients, including age-related biologic, neurologic, and psychiatric illnesses; psychosocial problems; forensic issues; and family care. The journal offers the latest peer-reviewed information on cognitive, mood, anxiety, addictive, and sleep disorders in older patients, as well as tested diagnostic tools and therapies.