生殖精神病学预先指令:促进患有严重精神疾病的围产期患者的自主权诊断
Emily C Dossett1, Sonja L Castañeda-Cudney2, Michelle T Nguyen3
1Departments of Psychiatry and Behavioral Sciences and of Obstetrics and Gynecology, Keck School of Medicine, University of Southern California, 2250 Alcazar Street, Suite 2200, Los Angeles, CA, 90033, USA. edossett@dhs.lacounty.gov.
Archives of women's mental health
|November 9, 2023
概括
患有严重精神疾病 (SMI) 的孕妇面临护理挑战. 一项新的生殖精神病学先进指令 (PAD) 赋予他们表达对围产期医疗和精神病学护理的偏好,促进自主权.
科学领域:
- 生殖精神病学是一种精神病学.
- 心理健康法 心理健康法
- 生物伦理学生物伦理学
背景情况:
- 患有严重精神疾病 (SMI) 的人在怀孕期间很容易受到伤害,风险是症状复发和决策能力受损.
- 医疗保健提供者缺乏明确的法律指导来管理SMI孕妇患者的产周护理.
- 现有的预先指令不能充分解决生殖和围产期精神病治疗的具体需求.
研究的目的:
- 制定生殖精神病学先进指令 (PAD),以支持怀孕期间SMI患者的患者自主权.
- 为积极表达医疗和精神病治疗偏好提供法律框架.
主要方法:
- 进行了关于精神病学预先指示和生殖健康的综合医学和法律文献审查.
- 召集了一个专家工作组,包括法律,医疗,精神病学和宣传专业人员.
- 根据生殖正义原则开发了一个新的生殖PAD模板.
主要成果:
- 文献审查显示,没有现有的生殖PADs.
- 创建了一个新的生殖PAD模板,包含医学/精神病史,同意,计划生育,监护,堕胎和电治疗的部分.
- 生殖PAD为SMI患者提供了一种法律机制,以表达生殖和产周护理选择.
结论:
- 生殖PAD是一种新的工具,旨在保护患有SMI的生育年龄人群的患者自主权.
- 该指令可以指导医疗保健提供者提供以患者为中心的围产期精神和医疗护理.
- 需要进一步的研究来评估生殖PAD在实践中的有效性.
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