精神科抑郁症患者出院准备服务专家共识  

An expert consensus on discharge preparation services for psychiatric patients with depression

作　　者：中华护理学会精神卫生专业委员会 许冬梅[2] 张梦倩 邵静[2] 高静[2] 罗薇 叶晓露 屈燕花 刘晓[2] 于辉[2] 李莉辉[2] 陈红婷 王丽 程俊香 Mental Health Professional Committee,Chinese Nursing Association;Xu Dongmei

机构地区：[1]不详 [2]北京回龙观医院 [3]厦门市仙岳医院 [4]山西医科大学第一医院

出　　处：《中华现代护理杂志》2024年第31期4201-4207,共7页Chinese Journal of Modern Nursing

摘　　要：目的形成精神科抑郁症患者出院准备服务专家共识(简称《共识》),规范精神科抑郁症患者出院准备服务相关内容。方法检索、评价和汇总精神科抑郁症患者出院准备服务相关证据,提取相关的推荐建议和研究结论,形成共识初稿。通过2轮专家函询及2次专家论证会,结合专家意见,对初稿进行修改和完善,形成共识终稿。结果2轮函询专家积极系数均为100.00%(20/20),专家权威系数分别为0.798、0.800,各指标重要性赋值均>3.50分,且变异系数均<0.25,专家肯德尔和谐系数分别为0.557、0.570(均P<0.05)。最终在精神科抑郁症患者出院准备服务的应用人群、干预形式、干预时间、评估方法、计划制定、实施流程及内容、效果评价7个部分达成一致推荐意见。结论本《共识》可为精神科抑郁症患者出院准备服务的实践提供理论依据。ObjectiveTo form an expert consensus on discharge preparation services for psychiatric patients with depression(referred to as the"Consensus")and standardize the relevant content of discharge preparation services for psychiatric patients with depression.MethodsThe initial consensus draft was formed by searching,evaluating,and summarizing evidence on discharge preparation services for psychiatric patients with depression,extracting recommendations and research conclusions.Through two rounds of expert consultation and two expert discussion meetings,combined with expert opinions,the initial draft was revised and improved to form a consensus final draft.ResultsIn the two consultation rounds,experts'positive coefficient was 100.00%(20/20),and the authoritative coefficients of experts were 0.798 and 0.800,respectively.The importance assigned to each indicator was more significant than 3.50 points,and the coefficient of variation was less than 0.25.The Kendall harmony coefficients of experts were 0.557 and 0.570,respectively(both P<0.05).A consensus recommendation was reached on the seven aspects of discharge preparation services for psychiatric patients with depression,including application population,intervention forms,intervention time,evaluation methods,plan formulation,implementation process and content,and effectiveness evaluation.ConclusionsThe Consensus can provide theoretical guidance for the practice of discharge preparation services for psychiatric patients with depression.

关 键 词：抑郁症 精神科 出院准备服务 出院计划 专家共识 

分 类 号：R749.4[医药卫生—神经病学与精神病学]