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一名有酗酒和自杀意念史的住院医师:在新冠疫情第一波背景下对精神病学和职业医学的挑战

A Medical Resident with a History of Alcohol Abuse and Suicidal Ideation: A Challenge for Both Psychiatry and Occupational Medicine in the Context of the First Wave of the COVID-19 Pandemic.

作者信息

Corsi Martina, Veltri Antonello, Perretta Salvio, Marino Riccardo, Necciari Gabriele, Caldi Fabrizio, Foddis Rudy, Cristaudo Alfonso, Buselli Rodolfo, Guglielmi Giovanni

机构信息

Occupational Health Department, Azienda Ospedaliero-Universitaria Pisana, 56124 Pisa, Italy.

出版信息

Case Rep Psychiatry. 2022 Oct 17;2022:7396453. doi: 10.1155/2022/7396453. eCollection 2022.

Abstract

This case study draws attention to the hazards of physicians with a history of alcohol addiction and a particular psychopathology framework in the context of occupational health surveillance, particularly during the challenging working conditions brought about by the COVID-19 pandemic. The case involves a hospital resident in her thirties, with a previous history of addiction and attempts at suicide, who was assigned to a COVID-19 unit of an Italian hospital. In this case study, we discuss the preventive intervention put in place in order to protect physicians' health and work. What emerges is the key role that rapid substantive communications between specialists play in formulating an effective strategy for dealing with these conditions. We believe this case is noteworthy for the lessons that can be learned for tailoring prevention and treatment pathways for health care workers with addiction.

摘要

本案例研究提请人们注意有酒精成瘾史的医生所面临的风险,以及职业健康监测背景下,尤其是在新冠疫情带来的具有挑战性的工作条件下的一种特殊心理病理学框架。该案例涉及一名三十多岁的医院住院医生,她曾有过成瘾和自杀未遂史,被分配到意大利一家医院的新冠病房。在本案例研究中,我们讨论了为保护医生健康和工作而实施的预防性干预措施。其中凸显出的是,专家之间迅速而实质性的沟通在制定应对这些情况的有效策略中所起的关键作用。我们认为,该案例值得关注,因为它能为为有成瘾问题的医护人员量身定制预防和治疗途径提供借鉴。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d88/9592198/9efa0d5fa0be/CRIPS2022-7396453.001.jpg

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