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法医学精神科环境中的老年患者:文献综述。

Ageing patients in forensic psychiatric settings: A review of the literature.

机构信息

Division of Psychiatry and Applied Psychology, School of Medicine, University of Nottingham, Nottingham, UK.

出版信息

Int J Geriatr Psychiatry. 2018 Dec;33(12):1548-1555. doi: 10.1002/gps.4981. Epub 2018 Sep 19.

Abstract

OBJECTIVES

The prevalence of ageing patients in forensic psychiatric settings is increasing. However, limited research has reported around this population. The aim of this scoping review is to synthesise the current evidence around ageing forensic psychiatric patients.

METHODS

The literature was searched through four databases and Google searches. The identified outputs were screened for suitability and assessed for quality. Quantitative data were extracted and analysed on SPSS; qualitative data were extracted and analysed onto NVivo.

RESULTS

Seven studies were included in the review. Quantitative results reported around demographics, service contact, offending patterns, mental, and physical health of ageing patients. Qualitative findings focused on age-friendliness of services, staff-patient rapport, activities, security issues, and discharge planning.

CONCLUSIONS

Ageing forensic psychiatric patients present with complex and unique needs in relation to treatment, activities, mental, physical, and support. Further research looking at individual patients' needs is paramount to inform policy development and good practice in this area.

摘要

目的

法医精神病学环境中老年患者的患病率正在增加。然而,围绕这一人群的研究有限。本范围综述的目的是综合当前有关老年法医精神病患者的证据。

方法

通过四个数据库和谷歌搜索检索文献。对确定的产出进行筛选,以确定其适宜性和质量。在 SPSS 上提取和分析定量数据;在 NVivo 上提取和分析定性数据。

结果

综述纳入了 7 项研究。定量结果报告了老年患者的人口统计学、服务接触、犯罪模式、精神和身体健康方面的数据。定性研究结果集中在服务的友好程度、员工与患者的关系、活动、安全问题和出院计划。

结论

老年法医精神病患者在治疗、活动、心理、生理和支持方面表现出复杂而独特的需求。进一步研究个别患者的需求对于制定政策和在该领域开展良好实践至关重要。

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