King Anna Lucia Spear, Pádua Mariana King, Gonçalves Lucio Lage, Santana de Souza Martins Aline, Nardi Antonio Egidio
Institute of Psychiatry (IPUB) of Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil.
Clementino Fraga Filho Hospital (HUCFF) of Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil.
Digit Health. 2020 Nov 30;6:2055207620966860. doi: 10.1177/2055207620966860. eCollection 2020 Jan-Dec.
On the world stage unlimited internet access by smartphones have made in social, cultural and economic relations, has transformed the world to be faster and more efficient. In this context, health care requires more attention. Health professionals must be concerned about the majority of the patient's care on the use of smartphone's in this process. Smartphones can be cause distractions and cause poor patient care. Behavioral and psychological changes related to abusive and uncontrolled use in this population may create severe impacts not only on the user's life but also on the community health care.
A careful research was performed through PubMed, Web of Science and Psycho Info databases using the terms: "Smartphone addiction", "Smartphone dependence", "Smartphone abuse", "physicians", "nurses" and ''health professionals". The search covered the past 5 years up to August 2019. Articles that examine abusive use on smartphones in health professionals were included. We analyzed how this concept evolved over the last five years and hope to contribute to the better understanding of the issue and its impacts on this population and on the health care.
There is a lack of specific trial instruments on screening of smartphone addiction or abusive use, tending to adopt different diagnostic criteria by the reports included. There are also a lack of studies discussing etiology of this compulsive behavior. Although known risks, published reports show there is no consciousness of abusive use and possible damages in healthcare by some health professionals. Instead, there are others that can affirm there are unpredictable risks in patient care and tend to stimulate conscience use politics in health settings. Most of them point out smartphone's app benefits.
Smartphones and its functionalities became part of everyone's life by the various benefits guaranteed. However, an addictive behavior can cause damage, principally in the Health Care setting and health professional's abusive use must be monitored. Further investigation is needed to determine the motivations of this addictive behavior and if abusive smartphone usage is a new psychiatric classification or merely the substrate of other disorders.
在世界舞台上，智能手机的无限制互联网接入已经对社会、文化和经济关系产生了影响，使世界变得更快、更高效。在这种背景下，医疗保健需要更多关注。医疗专业人员必须关注在这个过程中大多数患者使用智能手机进行护理的情况。智能手机可能会造成干扰并导致患者护理质量下降。与该人群滥用和无节制使用相关的行为和心理变化不仅可能对用户的生活产生严重影响，还会对社区医疗保健产生影响。
通过PubMed、科学网和心理学文摘数据库进行了仔细的研究，使用了以下关键词：“智能手机成瘾”、“智能手机依赖”、“智能手机滥用”、“医生”、“护士”和“医疗专业人员”。搜索涵盖了截至2019年8月的过去5年。纳入了研究医疗专业人员滥用智能手机情况的文章。我们分析了这个概念在过去五年中的演变情况，希望有助于更好地理解这个问题及其对该人群和医疗保健的影响。
在筛查智能手机成瘾或滥用方面缺乏特定的试验工具，纳入的报告倾向于采用不同的诊断标准。也缺乏讨论这种强迫行为病因的研究。尽管存在已知风险，但已发表的报告显示，一些医疗专业人员并未意识到在医疗保健中存在滥用行为以及可能造成的损害。相反，其他一些人则认为在患者护理中存在不可预测的风险，并倾向于在医疗环境中倡导合理使用政策。他们中的大多数人指出了智能手机应用程序的好处。
智能手机及其功能因其所带来的各种好处而成为每个人生活的一部分。然而，成瘾行为可能会造成损害，主要是在医疗保健环境中，必须监测医疗专业人员的滥用行为。需要进一步调查以确定这种成瘾行为的动机，以及滥用智能手机是否是一种新的精神疾病分类，还是仅仅是其他疾病的基础。
