对注射毒品的人在住院护理中的结构性耻辱:对降低危害的影响
Maham Rehman1,2, Leigh Chapman3, Lisa Liu1
1Department of Psychiatry, Schulich School of Medicine and Dentistry, Western University, London, Canada.
Harm reduction journal
|February 27, 2024
概括
结构性污名对物质使用障碍 (SUD) 患者的住院护理产生负面影响. 在医院设计和综合护理中解决结构性问题对于改善治疗体验至关重要.
科学领域:
- 提供医疗保健服务.
- 医学社会学 医学社会学
- 公共卫生 公共卫生
背景情况:
- 患有上的人面临着严重的耻辱.
- 除了个人偏见之外,结构因素影响了对物质使用障碍 (SUD) 的护理.
- 结构性耻辱对住院SUD护理的影响还没有得到充分研究.
研究的目的:
- 研究结构性耻辱如何影响住院SUD患者的护理过程.
- 了解医疗保健环境中结构性耻辱和其他形式的耻辱之间的相互作用.
主要方法:
- 从两个医院的观察笔记和采访成绩单的二次分析.
- 利用结构性耻辱的分析框架.
- 包括来自81名观察参与者和25名采访个人 (患者,员工,护理人员) 的数据.
主要成果:
- 结构性耻辱对SUD住院护理的各个方面都有不利影响.
- 观察到护理准入和时间压力的差距.
- 物理空间和精神健康资源不足反映了结构性耻辱,延续了其他形式的耻辱.
结论:
- 结构性耻辱与个人和人际耻辱相互关联.
- 改善住院SUD护理需要解决物理空间设计等结构元素.
- 建议在医院加强精神和身体健康护理的整合.
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