关于心理健康中的胁迫的证据综合:一个总体审查
Miriam Aragonés-Calleja1,2, Vanessa Sánchez-Martínez2
1Mental Health Department, Hospital Padre Jofre, Valencia, Spain.
International journal of mental health nursing
|November 1, 2023
概括
精神卫生保健中的胁迫显著影响患者的福祉和康复. 本综合性审查综合了强制措施的证据和利益相关者的经验,以告知临床实践.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 精神病学流行病学 精神病学流行病学
- 证据综合 证据综合
背景情况:
- 强迫是精神卫生保健中普遍存在的问题,它会对患者的身体健康,康复和心理健康产生负面影响.
- 现有的研究已经探索了强迫的各种方面,需要对现有证据进行全面的综合.
研究的目的:
- 进行总体审查,以收集,评估和综合从精神卫生保健中的胁迫系统审查中获得的证据.
- 分析特定的强制措施,它们的流行,有效性,危害和替代方案.
- 探索心理健康专业人员,服务用户和护理人员关于胁迫的经验,感知和态度.
主要方法:
- 在PROSPERO (CRD42020196713) 登记了一项总体审查协议.
- 搜索了主要的数据库 (Medline/PubMed,PsycINFO,EMBASE,CINAHL) 和系统审查存储库,以获取相关的系统审查和元分析.
- 包括46个系统审查,评估质量和偏见风险,并将发现分类为强制措施和利益相关者的经验.
主要成果:
- 综合了具体的强制措施的证据,包括社区治疗命令,强迫治疗,非自愿入院,隔离,限制和非正式的胁迫,检查了它们的流行率,促成因素,有效性和不良影响.
- 该审查还综合了心理健康专业人员,服务用户和他们的护理人员对胁迫的经验,感知和态度的数据.
- 还分析了旨在减少强制性做法使用的已确定替代方案.
结论:
- 本综合性综述提供了精神卫生保健中的胁迫的全面概述,突出了其多方面的性质和影响.
- 这些发现对心理健康专业人员和服务用户来说非常有价值,帮助他们了解强迫对临床实践和患者结果的影响.
- 该综合旨在为应对胁迫和改善精神卫生保健服务的策略提供信息.
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