Introduction to the Royal Australian and New Zealand College of Psychiatrists Clinical Practice Guidelines Series
Introduction to the Royal Australian and New Zealand College of Psychiatrists Clinical Practice Guidelines Series
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澳大利亚和新西兰皇家精神科医生学院临床实践指南系列简介
DOI：
10.1080/j.1440-1614.2003.01270.x
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发表时间：
2003
影响因子：
4.6
通讯作者：
Jonine Penrose
中科院分区：
文献类型：
--
作者：
P. Boyce;P. Ellis;Jonine Penrose
临床实践指南（cpg）被定义为系统地制定的声明，以帮助医生和患者决定适当的医疗保健的具体临床情况[10]。有效的指南必须：对临床医生和患者都有用；系统地发展；专门用于协助（而不是命令）临床决策；并根据具体情况应用。作为RANZCP临床实践指南项目的一部分，已经开发了6个cpg，以指导精神分裂症、双相情感障碍、抑郁症、恐慌和广场恐怖症、神经性厌食症和故意自残的管理。为病人和护理人员准备了一套平行的指导方针（见http://www.ranzcp）。org/publicarea/cpg.asp)。制定指南的前提是，临床医生接受了充分的培训，以便：●记录包含当前症状的病史、完整的发育史和人际史，并评估当前的社会心理功能和关系；●进行详细的精神状态检查；●从生物-心理-社会的角度阐述病人的问题。该指南旨在支持精神科医生和其他精神卫生专业人员在个性化护理计划背景下的循证实践。该计划应基于对治疗方案的全面评估和知情讨论（患者应阅读患者/护理人员指南），并在适当情况下征得护理人员的同意。
Clinical practice guidelines (CPGs) are defined as systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances [1]. Effective guidelines must: have utility for both clinicians and patients; be developed systematically; be specifically used to assist (not dictate) clinical decision making; and be applied on a case by case basis. Six CPGs have been developed as part of the RANZCP Clinical Practice Guideline Project to guide management of schizophrenia, bipolar disorder, depression, panic and agoraphobia, anorexia nervosa and deliberate self-harm. A parallel set of guidelines has been prepared for patients and carers (see http://www.ranzcp. org/publicarea/cpg.asp). The guidelines have been developed on the assumption that the clinician has been fully trained to: ● take a history incorporating present symptoms, a full developmental and interpersonal history and assessment of current psychosocial functioning and relationships; ● conduct a detailed mental state examination; and ● formulate the patient’s problem from a biopsychosocial perspective. The guidelines are intended to support evidencebased practice by psychiatrists and other mental health professionals, in the context of an individualized care plan. This plan should be based on a thorough assessment and informed discussion of treatment options with the patient (who will have read the patient/carer guidelines) and, where appropriate and with consent, the carer.