临床医生提供强制性护理的经验,年轻人有厌食症神经:一个定性研究
T M Offringa1, R R J M Vermeiren1,2, C Bouman1
1LUMC Curium - Department of Child and Adolescent Psychiatry, Leiden University Medical Center, Leiden, the Netherlands.
The International journal of eating disorders
|November 4, 2025
概括
提供强制性鼻胃管养的临床医生为患有神经性厌食症的青少年提供了痛苦和潜在的道德伤害. 改善需要教育,指导方针和伦理辩论来支持护理质量.
科学领域:
- 儿童和青少年精神病学
- 临床心理学 临床心理学
- 医学伦理 医学伦理
背景情况:
- 强制治疗严重的神经性厌食症对患者来说可能是创伤性的.
- 强制治疗对临床医生的影响仍未得到充分研究.
研究的目的:
- 检查临床医生在患有神经性厌食症严重的年轻人中强制使用鼻管养的经验.
- 确定导致对临床医生的负面影响的因素.
- 探索临床实践中的潜在改进.
主要方法:
- 与来自荷兰四个学术儿童和青少年精神病诊所的23名临床医生进行了半结构面试.
- 使用系统的演和归纳编码,对采访数据进行主题分析.
主要成果:
- 临床医生报告说,强迫养造成了严重的痛苦,经验因角色而异.
- 患者和家长的抵抗 (身体和口头) 是非常痛苦和潜在的创伤.
- 临床医生强调需要一个情绪安全的环境,明确的指导方针和道德辩论.
结论:
- 强制性鼻管养可能会导致临床医生的道德伤害和创伤,影响护理质量.
- 加强教育,团队建设,共享决策,实践指南和道德讨论至关重要.
- 需要进一步研究强制养对精神性厌食症青少年的影响及其对临床医生的影响.
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