精神病紧急情况:流行病学分析和医疗保健专业人员的经验
Selim Degirmenci1, Nese Mercan2
1Department of Emergency Medicine, Faculty of Medicine, Bilecik Seyh Edebali University, Bilecik, Türkiye. selim.degirmenci@bilecik.edu.tr.
紧急服务部门在治疗精神病患者方面面临着挑战. 了解医疗保健专业人员的经验和患者流行病学对于改善精神病紧急护理和患者安全至关重要.
科学领域:
- 紧急医疗 紧急医疗
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 紧急诊所 (ED) 对患者的安全和启动精神病治疗至关重要.
- 医疗保健工作者在管理患有精神疾病的患者方面面临重大挑战.
- 了解患者的流行病学和工作人员的经验对于有效的干预至关重要.
研究的目的:
- 检查ED中出现精神病紧急情况的患者的流行病学.
- 探索医疗保健专业人员对管理这些病例的经验和意见.
- 确定影响精神病紧急情况诊断,治疗和结果的因素.
主要方法:
- 在2022年1月至2023年12月期间,对1621名被评估为精神病紧急情况的患者进行了回顾性分析.
- 使用现象学设计进行定性研究,采访医疗保健专业人员.
- 探索与患者的治疗方法,诊断,治疗和结果相关的主题.
主要成果:
- 大多数患者 (87.4%) 被评估焦虑,其次是自杀企图 (4.6%).
- 采访揭示了四个主要主题:恐惧/耻辱,治疗关系,干预条件和经验的意义.
- 在患者人口统计学中,注意到了显著的性别和年龄差异.
结论:
- 医疗保健专业人员的经验对于改善精神病紧急护理至关重要.
- 改变ED干预条件是必要的,以提高患者的安全性和恢复.
- 解决工作人员的观点可以减少急性痛苦,并改善精神病急诊患者的结果.
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