关于非自愿精神病治疗的临床决策中的伦理问题:一个范围审查
Cláudio Domingos Laureano1,2,3, Carlos Laranjeira3,4,5, Ana Querido3,4,6
1Psychiatric and Mental Health Service, Local Health Unit of the Leiria Region-Hospital of Santo André, Rua das Olhalvas, 2410-197 Leiria, Portugal.
Healthcare (Basel, Switzerland)
|February 23, 2024
概括
本范围审查审查审查了非自愿精神病治疗中的伦理问题. 调查结果揭示了入院期间的沟通缺口和权力不平衡,突出了改善以患者为中心的护理策略的需要.
科学领域:
- 精神病学是一个精神病学.
- 生物伦理学生物伦理学
- 心理健康法 心理健康法
背景情况:
- 非自愿的精神病治疗仍然是精神卫生保健中一个有争议的问题.
- 伦理考虑是临床决策的核心关于强制治疗精神障碍.
研究的目的:
- 系统地绘制和分析现有的关于非自愿精神病治疗临床决策中的伦理问题的文献.
- 确定与非自愿精神卫生保健相关的伦理基础,标准,风险和策略.
主要方法:
- 使用五个主要数据库进行了全面的范围审查:Embase,PsycINFO,CINAHL,Medline和Scopus.
- 诱导性内容分析适用于来自14个国家的35项精选研究,这些研究从最初的342篇文章中确定.
主要成果:
- 关键主题包括道德基础 (自治,公益,正义),治疗标准,确定的风险和缓解策略.
- 显著的发现表明,在非自愿录取期间缺乏有效的沟通和权力不平衡,往往剥夺服务用户的权利.
- 强制措施经常在没有明确的理由的情况下被使用,家庭对住院的依赖加剧了这种情况.
结论:
- 在非自愿的治疗决定中,必须仔细平衡道德原则.
- 解决沟通缺陷和权力动态对于改善非自愿精神病治疗至关重要.
- 未来的研究应侧重于特定于背景的,共同制作的和参与式的方法,以了解法律能力和非自愿录取的复杂性.
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