强化心理关怀对严重精神障碍患者体验评估的作用：PREMIUM 项目研究。

Enhancing patient experience assessment with psychological care in severe mental disorders: A study of the PREMIUM program.

机构信息

AP-HM, Aix-Marseille University, School of medicine - La Timone Medical Campus, UR3279: Health Service Research and Quality of Life Center (CEReSS), Marseille, France.

出版信息

Asian J Psychiatr. 2023 Dec;90:103804. doi: 10.1016/j.ajp.2023.103804. Epub 2023 Oct 18.

DOI:10.1016/j.ajp.2023.103804

PMID:37913651

Abstract

Incorporating the experiences of patients with severe mental disorders (SMD) into clinical practice offers valuable insights for optimizing psychological care's effectiveness with more patient-centered and personalized interventions. The study aimed to develop a patient-reported experience measure regarding psychological care (PREMIUM-PSY) using adaptive testing and investigate its association with quality of life. In a multicenter study involving 443 patients with SMD, PREMIUM-PSY demonstrated both validity and efficiency (6-item average). Positive patient experiences were associated with enhanced mental and physical quality of life (β = 3.15[2.17;4.12], p < 0.001 and β = 1.18[0.04;2.32], p = 0.042), suggesting PREMIUM-PSY's potential for optimizing psychological care outcomes.

摘要

将患有严重精神障碍 (SMD) 患者的经验纳入临床实践，为优化心理护理的效果提供了有价值的见解，使干预措施更加以患者为中心和个性化。本研究旨在使用自适应测试开发一种关于心理护理的患者报告体验测量工具 (PREMIUM-PSY)，并研究其与生活质量的相关性。在一项涉及 443 名 SMD 患者的多中心研究中，PREMIUM-PSY 表现出了有效性和效率（6 项平均）。积极的患者体验与增强的心理和生理生活质量相关（β=3.15[2.17;4.12]，p<0.001 和β=1.18[0.04;2.32]，p=0.042），表明 PREMIUM-PSY 有潜力优化心理护理的效果。