在COVID-19大流行期间,法医单位的入院模式:一个过程分析
Isabella D'Orta1,2, François R Herrmann3, Panteleimon Giannakopoulos1,4
1Division of Institutional Measures, Medical Direction, Geneva University Hospitals, Geneva, Switzerland.
Frontiers in psychiatry
|January 26, 2024
概括
随着COVID-19的流行,急性法医护理需求增加了,特别是在人格障碍和物质使用障碍 (SUD) 的囚犯身上. 在疫情期间,非自愿入院人数增加,而隔离时间减少.
科学领域:
- 法医精神病学 法医精神病学
- 公共卫生 公共卫生
- 心理健康服务 心理健康服务
背景情况:
- 讨论了COVID-19大流行对法医精神病学服务的影响.
- 最初的报道显示,被拘留者中精神健康问题增加.
研究的目的:
- 在COVID-19大流行期间,分析安全的法医病房的入院,停留时间和诊断的变化.
- 评估大流行对被拘留者急性精神病护理需求的具体影响.
主要方法:
- 使用运行图表绘图和分数多项式回归的过程分析.
- 检查了入院类型,原因,入院时间,门诊病史,隔离时间和诊断.
主要成果:
- 在大流行期间观察到人格障碍,物质使用障碍 (SUD) 和先前门诊护理的比例增加.
- 在疫情期间,非自愿入院病例稳步增加,而隔离时间减少.
- 疫情与人格障碍和SUD需要法医护理的囚犯数量显著增加有关.
结论:
- COVID-19大流行加剧了急性法医护理需求,特别是对于性格障碍和SUD的被拘留者.
- 这些患者表现出冲动性,丧不耐受性和失控性,往往伴有SUD并发症.
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