西班牙专家就医院急诊室的紧急精神病治疗达成共识
Rafael Manuel Gordillo-Urbano1, Benedicto Crespo-Facorro2,3,4,5, Víctor Pérez-Solá5,6,7,8
1Mental Health Clinical Management Unit of the South Health Management Area of Cordoba (Unidad de Gestión Clínica de Salud Mental del Área de Gestión Sanitaria Sur de Córdoba). Hospital Infanta Margarita, Córdoba, Spain.
这项研究提供了专家建议,以优化西班牙普通医院急诊室 (ED) 的精神病急诊护理. 主要发现包括专用设施,24 / 7专业人员和精神病紧急情况的增强安全协议.
科学领域:
- 紧急医疗 紧急医疗
- 精神病学是一个精神病学.
- 医疗保健管理的管理
背景情况:
- 在西班牙,急需精神病治疗的需求日益增加.
- 缺乏明确的建议应急部门 (EDs) 管理精神病紧急情况.
研究的目的:
- 为一般医院的急救医生提供专家共识建议,以治疗紧急精神症状患者.
- 建立优化精神病紧急护理的最低要求.
主要方法:
- 修改后的德尔菲技术涉及一个科学委员会和一个由38名精神病学专家组成的小组.
- 文献搜索和临床经验为36个陈述提供了信息,在两轮评估中进行了评估.
主要成果:
- 在基本要求方面达成83%的共识 (30/36份声明).
- 建议包括专门的设施,24 / 7专业人员 (精神病医生,护士,保安),社会工作者可用性和以安全为中心的设计.
- 建立了一个分拣系统,在精神病学评估之前进行医学评估.
结论:
- 一般医院的ED需要足够的资源来有效地管理精神病紧急情况.
- 本文概述了在精神病紧急情况中获得最佳护理的最低要求.
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