Association Hospitalière Sainte-Marie, Centre Hospitalier Sainte-Marie de Clermont-Ferrand, 33 Rue Gabriel Péri, 63000, Clermont-Ferrand, France.
Association Hospitalière Sainte-Marie, Centre Hospitalier Sainte-Marie de Rodez, Cayssiols, 12510, Rodez, France.
BMC Psychiatry. 2021 Jun 2;21(1):284. doi: 10.1186/s12888-021-03293-0.
The onset of COVID-19 required rapid organisational changes in the mental health domain. Most mental health-care departments appear to have set up infection control measures and also organised planning, coordination and measures that enabled them to provide psychiatric care in a restrictive environment. Our objective was to assess the organisation by psychiatric facilities in France of their response to COVID-19, during the first wave.
In June 2020, a cross-sectional study was performed by an audit with 48 items which was proposed to 331 hospitals in metropolitan France with a capacity for full-time, that is, inpatient psychiatric hospitalisation of adults.
Of the 331 establishments contacted, 94 (28.4%) agreed to respond to the survey questionnaire. Full-time inpatient hospitalisation was completely or partially maintained by 94.7% (n = 89) of facilities. Specific measures concerning respect for patients' rights were reported by 58% (n = 55) of establishments. Overall, 74.5% (n = 70) had set up a dedicated channel of care for patients at risk of severe COVID-19, and 52.1% (n = 49) a system for routine screening at admission for these risk factors. Nearly half the establishments (48.9%, n = 46) reported they had set up specific training programmes for patients about barrier measures and social distancing.
French psychiatric establishments on the whole were able to provide a necessary reorganisation of their management of patients and their families, regardless of facility status. Patients' rights nonetheless seem to have not received the attention they merited during the early pandemic period. Somatic management of patients with mental illness must absolutely be improved.
COVID-19 的爆发要求精神卫生领域迅速做出组织变革。大多数精神卫生保健部门似乎已经设立了感染控制措施，并组织了规划、协调和措施，使他们能够在限制环境中提供精神科护理。我们的目的是评估法国精神病院在第一波 COVID-19 期间组织应对 COVID-19 的情况。
2020 年 6 月，对法国大都市地区的 331 家有能力提供全时、即成人住院精神病学治疗的医院进行了一项横断面研究，通过审核提出了 48 项调查项目。
在 331 家联系的机构中，有 94 家（28.4%）同意对调查问卷作出回应。94.7%（n=89）的机构完全或部分维持了全时住院治疗。58%（n=55）的机构报告了针对尊重患者权利的具体措施。总体而言，74.5%（n=70）为有重症 COVID-19 风险的患者设立了专门的护理通道，52.1%（n=49）为这些风险因素的入院常规筛查建立了系统。近一半的机构（48.9%，n=46）报告说，他们为患者制定了关于障碍措施和社会距离的特定培训计划。
总体而言，法国精神病院能够对患者及其家属的管理进行必要的重新组织，无论机构的状况如何。然而，患者的权利似乎在大流行早期并没有得到应有的重视。必须绝对改善对患有精神疾病的患者的躯体管理。
