Lunsky Yona, Gracey Carolyn
Centre for Addiction and Mental Health, Ontario, Canada.
J Intellect Disabil. 2009 Jun;13(2):87-98. doi: 10.1177/1744629509336483.
Hospital emergency departments are not well prepared to meet the needs of individuals with intellectual disabilities. Negative experiences can be very traumatic, particularly when the emergency visit is because of a behavioural or psychiatric problem. A focus group study was conducted in 2005 in Toronto, Canada with four women with intellectual disabilities who had paid repeated visits to their local emergency department due to a psychiatric or behavioural crisis. These women spoke about not feeling respected, the trauma of being restrained physically or chemically, and about hospital staff not being comfortable working with women with intellectual disabilities. Clinical implications are discussed and recommendations are presented to improve the experience of women who require emergency services in the future.
医院急诊科并未做好充分准备以满足智障人士的需求。负面经历可能极具创伤性,尤其是当因行为或精神问题前往急诊时。2005年在加拿大多伦多针对四名智障女性开展了一项焦点小组研究,她们曾因精神或行为危机多次前往当地急诊科就诊。这些女性谈到她们感觉未受到尊重、遭受身体或药物约束的创伤,以及医院工作人员在与智障女性打交道时感到不自在。文中讨论了临床意义,并提出了建议,以改善未来有紧急服务需求的女性的就医体验。