Ali Raghad M, Aljabri Abdulkarim A, Hariri Nahla H, Bokhari Ghadi S, Alturkistani Shahad A, Albishri Nidaa A, Alzahrani Hamza A, Alghamdi Shuruq A, Alhazmi Renad T, Alfalogy Enas H
College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.
Community Medicine and Pilgrims Healthcare Department, College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.
Adv Med Educ Pract. 2024 May 22;15:433-446. doi: 10.2147/AMEP.S463479. eCollection 2024.
This study aims to assess the knowledge, attitudes, and practices of emergency physicians (EPs) related to psychiatric emergencies (PEs) in Makkah's general hospitals.
This study was an observational cross-sectional study using an online survey distributed to 138 EPs in the emergency departments (EDs) of six public hospitals in Makkah City, Saudi Arabia, between March 15 and May 1, 2023. A convenience sample was used for data collection. The questionnaire was developed after related surveys in the literature were reviewed.
59.9% of the physicians were aged 20-30 years. Most (68.8%) worked in hospitals that had psychiatric facilities. Regarding knowledge, only 30% of the emergency doctors were considered knowledgeable: the majority could identify PEs (79.7%), perform mental status examinations (71.0%), distinguish physical and mental symptoms (66.7%), and communicate with psychiatric patients (58.0%). However, only 52.9% could initiate management plans by prescribing psychiatric medication to patients. In relation to attitude, most physicians disagreed with the idea that healthcare practitioners do not need to advocate for psychiatric patients (67.4%), but many (62.3%) assumed that they do not have the responsibility to manage psychiatric patients, and they felt that conducting psychiatric evaluations in public hospitals is challenging because of the busy environment there. As regards practice, mentally ill patients (60.9%) were managed or referred by practices, and 56.5% of the EPs advised these patients upon discharge.
The study showed that EPs have positive attitudes toward psychiatric patients, but their knowledge varied based on age, occupation levels, and years of experience. There were significant knowledge gaps, particularly regarding effective communication with psychiatric patients. Additionally, many EPs manage psychiatric patients without being aware of the psychiatric resources in their hospital. Improving medical school curricula and postgraduate training can enhance care. However, more research in this field is needed.
本研究旨在评估麦加综合医院急诊医生（EPs）与精神科急诊（PEs）相关的知识、态度和实践。
本研究为观察性横断面研究，于2023年3月15日至5月1日期间，通过在线调查的方式，向沙特阿拉伯麦加市六家公立医院急诊科的138名急诊医生发放问卷。采用便利抽样法收集数据。在回顾文献中相关调查后制定了问卷。
59.9%的医生年龄在20 - 30岁之间。大多数（68.8%）在设有精神科设施的医院工作。在知识方面，只有30%的急诊医生被认为知识渊博：大多数人能够识别精神科急诊（79.7%）、进行精神状态检查（71.0%）、区分身体和精神症状（66.7%）以及与精神科患者沟通（58.0%）。然而，只有52.9%的人能够通过给患者开精神科药物来启动管理计划。在态度方面，大多数医生不同意医疗从业者无需为精神科患者发声的观点（67.4%），但许多人（62.3%）认为他们没有管理精神科患者的责任，并且他们觉得在公立医院进行精神科评估具有挑战性，因为那里环境繁忙。在实践方面，60.9%的精神疾病患者通过实践进行管理或转诊，56.5%的急诊医生在患者出院时给予建议。
研究表明，急诊医生对精神科患者持积极态度，但其知识因年龄、职业水平和工作经验而异。存在显著的知识差距，特别是在与精神科患者有效沟通方面。此外，许多急诊医生在管理精神科患者时并未意识到医院内的精神科资源。改进医学院课程和研究生培训可以提高护理质量。然而，该领域还需要更多研究。
