呼吁转型:摆脱心理健康护理中的强制措施
Lene Lauge Berring1,2, Eugenie Georgaca3
1Psychiatric Research Unit, Psychiatry Region Zealand, 4200 Slagelse, Denmark.
Healthcare (Basel, Switzerland)
|August 26, 2023
概括
强迫在心理健康服务中很常见,影响患者的权利和治疗结果. 了解和减少强制性做法对于道德和有效的护理至关重要.
科学领域:
- 心理健康护理 心理健康护理
- 临床心理学 临床心理学
- 医学伦理 医学伦理
背景情况:
- 全球范围内,强制性做法在心理健康环境中很普遍.
- 这些做法引发了关于患者自主权和人权的重大伦理问题.
- 现有文献强调了强迫对治疗关系和恢复的负面影响.
研究的目的:
- 检查心理健康护理中的胁迫的范围和性质.
- 确定使用的强制措施的类型.
- 分析强迫对服务用户和提供商的感知影响.
主要方法:
- 对心理健康中的胁迫实证研究的系统审查.
- 对患者和临床医生的体验进行定性分析.
- 强迫性流行率的定量评估.
主要成果:
- 胁迫以各种形式表现,包括身体限制,隔离和强制服用药物.
- 服务用户报告与强制性经历相关的重大痛苦和创伤.
- 临床医生经常感到矛盾,尽管有道德上的保留,但他们仍然把胁迫作为最后的手段.
结论:
- 减少胁迫需要在精神卫生服务提供方面进行系统性改变.
- 对工作人员的培训和支持对于开发非强制替代品至关重要.
- 维护患者权利和促进以康复为导向的护理必须优先考虑.
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