背景:精神障碍在成人外伤患者中很常见。为了限制这一人群心理幸福感差的负担,公认的当局已通过临床实践指南(CPG)发布了建议。然而,直到最近,人们对改善创伤患者心理健康的循证建议的采纳率一直很低.这可以通过优化心理健康实践和解释CGP范围和质量的复杂性来解释。我们的目标是在创伤护理的背景下系统地审查CPG心理健康建议并评估其质量。
方法:我们将通过应用于Medline的搜索策略来识别CPG,Embase,CINAHL,PsycINFO和WebofScience数据库,以及创伤协会的指南存储库和网站。我们将针对成人和急性创伤人群的CPG,包括至少一项预防建议,筛选,评估,干预,病人和家人的参与,由高收入国家认可的组织认可的与精神健康相关的转诊或随访程序。不会应用语言限制,我们将把搜索限制在过去的15年。审稿人将独立筛选标题,摘要,全文,并利用《评估指南研究与评估》(AGREE)II对CPG进行数据提取和质量评估。我们将使用基于建议评估等级的矩阵来综合被评为中等或高质量的CPG建议的证据,证据的开发和评估质量,推荐的力量,健康和社会决定因素,以及是否使用基于人群的方法提出建议。
背景:不需要道德批准,因为我们将对公布的数据进行二次分析。结果将在同行评审的期刊上传播,在国际和国家科学会议上。无障碍摘要将通过专业人士分发给感兴趣的各方,医疗保健质量和有生活经验的人协会。PROSPERO注册号码:(ID454728)。
BACKGROUND: Mental disorders are common in adult patients with traumatic injuries. To limit the burden of poor psychological well-being in this population, recognised authorities have issued recommendations through clinical practice
guidelines (CPGs). However, the uptake of evidence-based recommendations to improve the mental health of trauma patients has been low until recently. This may be explained by the complexity of optimising mental health practices and interpretating CGPs scope and quality. Our aim is to systematically review CPG mental health recommendations in the context of trauma care and appraise their quality.
METHODS: We will identify CPG through a search strategy applied to Medline, Embase, CINAHL, PsycINFO and Web of Science databases, as well as
guidelines repositories and websites of trauma associations. We will target CPGs on adult and acute trauma populations including at least one recommendation on any prevention, screening, assessment, intervention, patient and family engagement, referral or follow-up procedure related to mental health endorsed by recognised organisations in high-income countries. No language limitations will be applied, and we will limit the search to the last 15 years. Pairs of reviewers will independently screen titles, abstracts, full texts, and carry out data extraction and quality assessment of CPGs using the Appraisal of
Guidelines Research and Evaluation (AGREE) II. We will synthesise the evidence on recommendations for CPGs rated as moderate or high quality using a matrix based on the Grading of Recommendations Assessment, Development and Evaluation quality of evidence, strength of recommendation, health and social determinants and whether recommendations were made using a population-based approach.
BACKGROUND: Ethics approval is not required, as we will conduct secondary analysis of published data. The results will be disseminated in a peer-reviewed journal, at international and national scientific meetings. Accessible summary will be distributed to interested parties through professional, healthcare quality and persons with lived experience associations. PROSPERO REGISTRATION NUMBER: (ID454728).