心理健康专业人员对隔离的看法和态度:安全性和治疗考虑之间的矛盾关系
Grégory Yersin1, Benedetta Silva1, Philippe Golay2
1Community Psychiatry Service, Department of Psychiatry, Lausanne University Hospital and University of Lausanne, Place Chauderon 18, 1003 Lausanne, Switzerland; Cantonal Medical Office, Public Health Service of Canton of Vaud, Department of Health and Social Action (DSAS), Avenue des Casernes 2, 1014 Lausanne, Switzerland.
心理健康专业人士认为,尽管存在潜在的负面影响,但隔离有治疗和安全方面的好处. 越来越多地使用隔离可能会导致其正常化,强调需要对这种强制措施提供明确指导.
科学领域:
- 精神病学是一个精神病学.
- 心理健康 心理健康
- 临床心理学 临床心理学
背景情况:
- 在全球范围内,急性精神病单位的隔离频率各不相同.
- 它在瑞士的使用是被授权的,但并不普遍适用.
- 影响隔离使用的因素在研究中报告不一致.
研究的目的:
- 评估心理健康专业人员对隔离的看法和态度.
- 探索专业背景和经验对这些观点的影响.
主要方法:
- 在瑞士精神病房的护士和医生进行了一项在线调查.
- 探索性结构方程建模 (ESEM) 分析了人们的看法和态度.
- 检查了社会人口统计学和专业方面的预测因素.
主要成果:
- 116名专业人士参与了这项研究;大多数人看到了治疗和安全方面的好处,以及风险.
- 很大一部分人认为法律框架不清楚.
- 出现了四个方面:负面后果,安全,合法性/法律方面以及组织方面.
- 隔离使用倾向于与增加的应用正常化.
结论:
- 隔离给心理健康专业人员带来了复杂的挑战.
- 需要当局的明确指导,以确保护理质量.
- 解决人们的看法和法律清晰度对于管理这种强制措施至关重要.
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