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韩国新冠疫情期间派遣至隔离精神病院的医务人员的经历:内容分析

Experience of Medical Personnel Dispatched to Isolated Psychiatric Institution in Korea During COVID-19: Content Analysis.

作者信息

Kim Youngjoo, Hyun Jung Hee, Lee Jacob, Nam Yoonyoung, Yim Eunshil, Lee Kyounga, Na Baegju

机构信息

Department of Nursing, U1 University, Yeongdong, Korea.

Division of Infectious Disease Control, Korea Disease Control and Prevention Agency, Cheongju, Korea.

出版信息

J Prev Med Public Health. 2025 Jul;58(4):431-439. doi: 10.3961/jpmph.24.680. Epub 2025 Jun 18.

DOI:10.3961/jpmph.24.680
PMID:40534357
Abstract

OBJECTIVES

This study investigates problems related to medical response, and the support system among medical personnel dispatched to the psychiatric hospital when the first cluster of infections occurred in a psychiatric hospital in Korea.

METHODS

Contents analysis was conducted for the responses of the medical personnel who responded to the interview. Training about basic quarantine rules, and safety management is not provided in the early dispatch stages.

RESULTS

No guidance is available regarding the human rights protection of medical staff. Additionally, no on-site situation-control tower is available. Participants reported that temporary quarantine measures implemented at Hospital D to restrict the movement of patients and medical staff from the external world are problematic. The most significant problem is the insufficient governmental systemic support and consideration for protecting. Both the human rights of psychiatric patients and the human rights of the medical staff who care for them.

CONCLUSIONS

Future responses to new infectious diseases should include the establishment of a continuous support system in the community by changing the collective and closed-room environments as well as isolation-centered mental healthcare systems to protect the human rights of patients with mental disorders. Additionally, response drills for people with mental illness in closed environments should be practiced in response to emerging infectious diseases at ordinary times. Finally, training and emergency measures for medical staff dispatched to these facilities and a manual for the protection of the human rights of medical staff should be prepared.

摘要

目的

本研究调查韩国一家精神病院首次出现聚集性感染时,派遣至该院的医护人员的医疗应对相关问题以及支持系统。

方法

对接受访谈的医护人员的回复进行内容分析。在早期派遣阶段未提供基本检疫规则及安全管理方面的培训。

结果

在医护人员人权保护方面没有指导意见。此外,没有现场情况控制塔。参与者报告称,D医院实施的限制患者和医护人员与外界接触的临时检疫措施存在问题。最严重的问题是政府在保护精神病患者人权和照顾他们的医护人员人权方面缺乏系统性支持和考虑。

结论

未来应对新传染病时,应通过改变集体和封闭病房环境以及以隔离为中心的精神卫生保健系统,在社区建立持续支持系统,以保护精神障碍患者的人权。此外,平时应针对封闭环境中的精神病患者进行应对新发传染病的应急演练。最后,应为派遣至这些机构的医护人员准备培训和应急措施以及医护人员人权保护手册。

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Experience of Medical Personnel Dispatched to Isolated Psychiatric Institution in Korea During COVID-19: Content Analysis.韩国新冠疫情期间派遣至隔离精神病院的医务人员的经历:内容分析
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本文引用的文献

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The Impact of COVID-19 Pandemic on Psychiatric Rehabilitation in Residential Facilities: Perspectives of Staff and Residents.新冠疫情对寄宿设施中精神康复的影响:工作人员和居民的观点
J Psychosoc Rehabil Ment Health. 2023 Apr 24:1-15. doi: 10.1007/s40737-023-00343-6.
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COVID-19 Impact on the Italian Community-based System of Mental Health Care: Reflections and Lessons Learned for the Future.新冠疫情对意大利社区心理健康护理系统的影响:对未来的思考与经验教训
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Mainstreaming of Health Equity in Infectious Disease Control Policy During the COVID-19 Pandemic Era.将卫生公平性纳入 COVID-19 大流行时代的传染病控制政策主流。
J Prev Med Public Health. 2021 Jan;54(1):1-7. doi: 10.3961/jpmph.20.593. Epub 2021 Jan 15.
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Why psychiatry is different - challenges and difficulties in managing a nosocomial outbreak of coronavirus disease (COVID-19) in hospital care.为什么精神病学是不同的 - 在医院护理中管理医院内爆发的冠状病毒病 (COVID-19) 的挑战和困难。
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