在紧急医疗服务中描述患有精神疾病的患者:一项回顾性观察性研究
Natalie Bergman1,2, Aleksandra Jarling3,4, Gabriella Boysen Norberg3,5
1PreHospen: Centre for Prehospital Research, University of Borås, Allégatan 1, Borås, 50332, Sweden. natalie.bergman@hb.se.
概括
紧急医疗服务 (EMS) 对精神疾病的评估显示,经常遇到自杀威胁和中毒. 然而,许多患者没有进行分组,这表明将他们引导到适当的护理方面存在潜在的挑战.
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:
- 精神疾病是一个全球性的健康挑战,增加了对医院前紧急医疗服务 (EMS) 评估的需求.
- 关于精神疾病患者在EMS系统中的流行病学数据,特别是在瑞典,仍然有限.
- 本研究通过描述EMS遇到的精神疾病症状患者的特征和医院前评估来弥补这一差距.
研究的目的:
- 描述瑞典EMS对精神疾病症状进行评估的患者的人口统计和临床表现.
- 分析这些患者的医院前评估和选过程.
- 为了识别住院和住院时间的模式.
主要方法:
- 使用了回顾性观察性研究设计.
- 分析了2023年EMS评估精神疾病症状的13岁以上的1,304名患者的数据.
- 使用IBM SPSS统计28进行了统计分析.
主要成果:
- 女性占精神疾病评估患者的比例更高 (54.3%).
- 平均年龄为39岁,自杀威胁/企图 (45.2%) 和中毒 (48.8%) 是最常见的表现问题.
- 虽然最初优先考虑急性护理,但许多患者在后评估时获得了较低的优先级或没有优先级,并且很大一部分 (40.4%) 没有被分配分组颜色,这表明护理协调存在挑战.
结论:
- 患有精神疾病的患者经常与EMS相互作用,主要是由于与自杀有关的事件和中毒.
- 相当多的这些患者没有被送往医院或被分配到分拣级别,这凸显了转诊途径的潜在困难.
- 这些发现强调了需要改进的策略,以确保在医院前环境中为精神疾病患者提供适当的护理和处置.
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