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新冠疫情期间住院精神科病房患者对远程精神病学的看法

Patient Perspectives on Telepsychiatry on the Inpatient Psychiatric Unit During the COVID-19 Pandemic.

作者信息

Heyman-Kantor Reuben, Hardy Nathan, Corcoran Amy R

机构信息

Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

出版信息

J Patient Exp. 2020 Oct;7(5):677-679. doi: 10.1177/2374373520958519. Epub 2020 Sep 16.

DOI:10.1177/2374373520958519
PMID:33294598
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7705825/
Abstract

Hospitals have eliminated many in-person interactions and established new protocols to stem the spread of COVID-19. Inpatient psychiatric units face unique challenges, as patients cannot be isolated in their rooms and are at times unable to practice social distancing measures. Many institutions have experimented with providing some psychiatric services remotely to reduce the number of people physically present on the wards and decrease the risk of disease transmission. This case report presents 2 patient perspectives on receiving psychiatric care via videoconferencing while on the inpatient unit of a large academic tertiary care hospital. One patient identified some benefits to virtual treatment while the second found the experience impersonal; both were satisfied with the overall quality of care they received and were stable 2 weeks after discharge. These cases demonstrate that effective care can be provided remotely even to severely ill psychiatric patients who require hospitalization.

摘要

医院已经减少了许多面对面的互动,并制定了新的方案来阻止新冠病毒的传播。住院精神科病房面临着独特的挑战,因为患者无法被隔离在自己的房间里,而且有时无法实施社交距离措施。许多机构已经尝试远程提供一些精神科服务,以减少病房内实际在场的人数,并降低疾病传播的风险。本病例报告呈现了两名患者在一家大型学术三级护理医院的住院部通过视频会议接受精神科护理的观点。一名患者认为虚拟治疗有一些好处,而另一名患者则觉得这种体验缺乏人情味;两人都对所接受护理的总体质量感到满意,并且在出院两周后病情稳定。这些病例表明,即使是需要住院治疗的重症精神科患者,也可以远程提供有效的护理。

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本文引用的文献

1
The COVID-19 Crisis: A Mental Health Perspective and Response Using Telemedicine.新冠疫情危机:从心理健康角度看及远程医疗应对措施
J Patient Exp. 2020 Jun;7(3):295-301. doi: 10.1177/2374373520922747. Epub 2020 May 11.
2
Use of Telepsychiatry in Emergency and Crisis Intervention: Current Evidence.远程精神病学在急诊和危机干预中的应用:现有证据。
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Telepsychiatry "coverage" to a rural inpatient psychiatric unit.远程精神病学“覆盖”农村住院精神病单元。
Telemed J E Health. 2011 Oct;17(8):603-8. doi: 10.1089/tmj.2011.0031.
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