Telehealth Monitoring of Patients with Schizophrenia and Suicidal Ideation
Telehealth Monitoring of Patients with Schizophrenia and Suicidal Ideation
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DOI：
10.1111/sltb.12154
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发表时间：
2015-10-01
影响因子：
3.2
通讯作者：
Haas, Gretchen L.
中科院分区：
文献类型：
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作者：
Kasckow, John;Gao, Shasha;Haas, Gretchen L.
开发了一个远程医疗系统，用于监测因自杀念头住院后的风险。我们假设，3个月的远程健康监测将导致自杀意念的更大减少。最近有自杀意念和/或自杀未遂的精神分裂症退伍军人被招募到退伍军人日常护理出院计划中，只接受每日健康伙伴(C)监测(HB)或日常护理(UC)。25人中15人被随机分成HB组，10人接受UC治疗。在1-3个月中，每天使用HB系统的依从率分别为86.9%、86.3%和84.1%。乙肝患者的自杀意念得分在贝克量表上有显著改善。抑郁症状没有变化。对这一人群的远程健康监测似乎是可行的。
A telehealth system was developed to monitor risk following hospitalization for suicidal ideation. We hypothesized that 3months of telehealth monitoring will result in a greater reduction in suicidal ideation. Veterans with schizophrenia admitted with recent suicidal ideation and/or a suicidal attempt were recruited into a discharge program of VA Usual Care with daily Health Buddy (c) monitoring (HB) or Usual Care (UC) alone. Fifteen of 25 were randomized to HB and 10 received UC. Daily adherence in the use of the HB system during months 1-3 was, respectively, 86.9%, 86.3%, and 84.1%. There were significant improvements in Beck Scale for Suicide Ideation scores in HB participants. There were no changes in depressive symptoms. Telehealth monitoring for this population of patients appears to be feasible.