关于西班牙严重精神障碍患者使用紧急服务的定性研究
Alejandro Pérez-Milena1, Juan Andrés Ramos-Ruiz2, Natalia Zafra-Ramirez3
1"El Valle" Primary Care Center, Andalusian Public Health System, 4 Human Rights Street, 23009, Jaén, Spain. alejandro.perez.milena.sspa@juntadeandalucia.es.
BMC primary care
|June 20, 2023
概括
患有严重精神障碍 (SMD) 的患者需要更好的紧急护理,重点关注心理社会因素和单独的等待区. 改善的社会支持和替代护理系统可以减少急诊室的过度使用.
科学领域:
- 精神病学是一个精神病学.
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
背景情况:
- 严重精神障碍 (SMD) 患者经常使用紧急服务.
- 精神病失补偿会导致严重后果,并阻碍紧急医疗护理的获取.
- 了解患者和护理人员的经验对于改善紧急护理至关重要.
研究的目的:
- 调查严重精神障碍 (SMD) 患者及其护理人员在西班牙紧急护理需求方面的经验和需求.
- 确定影响SMD患者对紧急服务需求的因素.
- 探索对紧急护理提供和满意度等级的期望.
主要方法:
- 采用与SMD患者及其非正式护理人员进行配对采访的定性方法.
- 在城市和农村地区进行有目的抽样,采访直到数据和.
- 话语分析与编码通过三角化.
主要成果:
- 紧急护理的主要原因包括自我护理不良,缺乏社会支持,以及医疗保健接入/连续性问题.
- 对医疗保健专业人员的信任和明确的信息至关重要;电话辅助是一个宝贵的资源.
- 患者希望优先考虑,在单独的领域及时照顾和真正的专业兴趣.
结论:
- 在SMD患者的紧急护理需求受到超出症状严重程度的心理社会决定因素的影响.
- 对于这些患者,急诊室内显然需要差异化护理.
- 增强的社交网络和替代护理模式可以减轻急诊室的过度使用.
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