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[精神病学的姑息治疗理念?关于姑息治疗与精神病学密切合作的优势与局限的概念性思考]

[A palliative concept for psychiatry? Conceptional considerations on advantages and limits of a close cooperation between palliative care and psychiatry].

作者信息

Gieselmann Astrid, Vollmann Jochen

机构信息

Institut für Medizinische Ethik und Geschichte der Medizin, Ruhr-Universität Bochum, Markstr. 258a, 44799, Bochum, Deutschland.

出版信息

Nervenarzt. 2020 May;91(5):385-390. doi: 10.1007/s00115-020-00883-3.

DOI:10.1007/s00115-020-00883-3
PMID:32078696
Abstract

BACKGROUND

A closer collaboration between psychiatry and palliative medicine is increasingly being discussed. This raises the question in which areas this collaboration already exists and which benefits it has for patient care.

OBJECTIVE

To ethically analyze the results of the application of palliative care concepts in psychiatry.

MATERIAL AND METHODS

Empirically informed conceptual and ethical analysis.

RESULTS

Palliative care and psychiatry share several basic principles. A collaboration between these disciplines already exists in certain areas. In relation to patients with persistent severe mental illnesses, this collaboration is limited to an awareness among professionals of certain concepts of palliative medicine.

CONCLUSION

A collaboration between psychiatry and palliative medicine can improve the quality of care, although this must vary across different patient groups.

摘要

背景

精神病学与姑息医学之间更紧密的合作正越来越多地被讨论。这引发了一个问题,即这种合作在哪些领域已经存在,以及它对患者护理有哪些益处。

目的

从伦理角度分析姑息治疗概念在精神病学中的应用结果。

材料与方法

基于实证的概念和伦理分析。

结果

姑息治疗和精神病学有几个共同的基本原则。这些学科之间在某些领域已经存在合作。对于持续性严重精神疾病患者,这种合作仅限于专业人员对某些姑息医学概念的认识。

结论

精神病学与姑息医学之间的合作可以提高护理质量,尽管这在不同患者群体中必然会有所不同。

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Palliative psychiatry in a narrow and in a broad sense: A concept clarification.狭义和广义的缓和精神病学:概念澄清。
Aust N Z J Psychiatry. 2022 Dec;56(12):1535-1541. doi: 10.1177/00048674221114784. Epub 2022 Aug 23.