乌克兰战争期间的心理健康服务:为期2年的随访研究
Irina Pinchuk1,2, Yulia Yachnik1, Ryunosuke Goto3,4
1Institute of Psychiatry, Taras Shevchenko National University of Kyiv, Kyiv, Ukraine.
International journal of mental health systems
|March 28, 2025
概括
乌克兰精神病医院在战争期间患者数量增加,因战争心理创伤而住院的病例增加. 人员短缺和流离失所影响了心理健康护理的提供,突出显示了对创伤相关服务的持续需求.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 战争研究 战争研究
背景情况:
- 长期的战争暴露显著影响心理健康,增加因资源短缺和护理中断而导致创伤相关精神疾病的风险.
- 乌克兰持续的战争给心理健康服务提供带来了独特的挑战.
- 了解冲突期间精神病院的运作能力对于有效的公共卫生反应至关重要.
研究的目的:
- 评估乌克兰精神病医院在持续战争期间提供心理健康护理的运作和作用.
- 评估随着时间的推移,精神病医院住院和人员配置的变化.
- 分析战争对心理健康服务提供的影响.
主要方法:
- 对乌克兰住院精神卫生机构进行了一项全国纵向研究.
- 从25个设施收集数据,这些设施在2022年1月至2024年4月期间参加了连续三次调查.
- 收集了有关住院,员工数量,流离失所和受伤的信息,并在研究波中进行了比较.
主要成果:
- 精神病医院住院数量在全面战争的两年内显著增加,相比于战前和战争初期的时期.
- 由于战争心理创伤而导致的平均住院病例增加,但没有达到统计学意义.
- 员工人数 (精神病医生,社会工作者,护士) 减少,到2024年4月,医疗工作者中有21.7%被解雇,0.5%受伤.
结论:
- 乌克兰的精神病医院住院人数已经超过了战前的水平,在全面冲突的两年内.
- 虽然与战争创伤相关的住院病例增加,但其比例保持稳定,表明持续需要创伤护理.
- 该研究强调了在持续冲突中对心理健康基础设施的压力和对服务的持续需求.
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