移民和本地人在急性精神病学服务中的住院趋势:来自意大利的描述性研究
Antonio Ventriglio1, Costanza Gaggiano1, Fabiana Ricci1
1Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy.
概括
移民经常需要急性精神病医疗服务,以治疗精神病等严重疾病,与情绪障碍的本地人不同. 文化定制的护理对于改善移民人口心理健康结果至关重要.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 移民在门诊精神卫生保健方面面临重大障碍.
- 对于这个弱势群体来说,急性精神病学服务是必不可少的.
- 了解住院差异是改善护理的关键.
研究的目的:
- 为了比较移民和本地意大利人的精神病医院住院特征.
- 识别诊断,治疗和结果中的差异.
- 为文化敏感精神卫生服务的发展提供信息.
主要方法:
- 追溯分析了福吉亚大学的536名住院患者 (移民和意大利本地人) (2004-2019).
- 社会人口统计学和临床变量的比较.
- 对诊断类别,药物滥用,自杀企图,先前住院和临床结果的分析.
主要成果:
- 移民更频繁地因严重的精神疾病 (如精神病) 住院通过急诊室.
- 本地人更经常因情绪障碍而入院.
- 移民的药物滥用,自杀企图和精神疾病的首次发作率更高,之前住院的病例更少.
- 本地人显示出更好的临床结果,更长的住院时间和更大的功能改善,尽管他们接受了更多的精神药物,但副作用较少.
结论:
- 移民和本地意大利人之间在精神病医院住院的情况存在显著差异.
- 根据文化定制的干预措施对于提高移民精神病治疗效率至关重要.
- 系统性变化是必要的,以解决不平等问题,并加强移民人口的心理健康服务.
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