全科医生与非自愿入院：一项定性研究。
GPs and involuntary admission: a qualitative study.
机构信息
School of Public Health, Department of General Practice, Aarhus University, Denmark.
出版信息
Br J Gen Pract. 2010 Aug;60(577):604-6. doi: 10.3399/bjgp10X515115.
BACKGROUND
In many countries, medical authorities are responsible for involuntary admissions of mentally ill patients. Nonetheless, very little is known about GPs' experiences with involuntary admission.
AIM
The aim of the present study was to explore GP's experiences from participating in involuntary admissions.
SETTING
General practice, Aarhus, Denmark.
METHOD
One focus group interview and six individual interviews were conducted with 13 Danish GPs, who had recently sectioned one of their own patients.
RESULTS
GPs experienced stress and found the admission procedure time consuming. They felt that sectioning patients was unpleasant, and felt nervous, but experienced relief and professional satisfaction if things went well. The GPs experienced the doctor-patient relationship to be at risk, but also reported that it could be improved. GPs felt that they were not taken seriously by the psychiatric system.
CONCLUSION
The unpleasant experiences and induced feelings resulting from involuntary admissions reflect an undesirable and stressful working environment.
背景
在许多国家，医疗当局负责对精神疾病患者进行非自愿入院治疗。尽管如此，对于全科医生参与非自愿入院的经验，我们知之甚少。
目的
本研究旨在探讨全科医生参与非自愿入院的经验。
设置
丹麦奥胡斯的一般实践。
方法
对 13 名丹麦全科医生进行了一次焦点小组访谈和六次个别访谈，他们最近对自己的一名患者进行了非自愿入院治疗。
结果
全科医生感到压力大，并且发现入院程序很耗时。他们觉得给病人断案不愉快，感到紧张，但如果事情进展顺利，他们会感到解脱和专业上的满足。全科医生认为医患关系存在风险，但也报告说可以改善这种关系。全科医生觉得他们没有被精神科系统认真对待。
结论
非自愿入院带来的不愉快经历和由此产生的感觉反映了一个不理想和有压力的工作环境。
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