Management Of Psychiatric Emergencies and Associated Comfort Among EMS Physicians in Lombardy, Italy: A Cross-Sectional Study.

IF 1.9 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Disaster Medicine and Public Health Preparedness Pub Date : 2024-11-13 DOI:10.1017/dmp.2024.182

Alba Ripoll-Gallardo, Elisa Scarpolini, Giacomo Colzani, Roberto Biella, Ilaria Offredi, Roberto Di Silvestre, Claudia Giannotti, Giuseppe Maria Sechi, Roberto Fumagalli, Rita E Fioravanzo, Riccardo Stucchi

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Abstract

Objectives: The aims of this study were to explore the knowledge of EMS physicians (EMSPs) on the legal aspects related to the management of prehospital psychiatric emergencies, assess their degree of comfort, and measure their perceived communication skills.

Methods: A survey was distributed to the 376 EMSPs working in the prehospital setting in Lombardy, Italy. Knowledge of medico-legal aspects was measured through multiple-choice questions; the Comfort Score (CS) and perceived Communication Skills Score (CSS) were calculated using Likert Scale questions. CS ranged from 11 points (lowest) to 44 (highest); CSS ranged from 8 points (lowest) to 32 (highest).

Results: A total of 272 EMSPs answered the survey (RR= 72.3%); 45.2% were women. Mean age was 45.76 years (SD 8.8). Mean percentage of correct knowledge test answers was 52.4 (SD 12.3); 81.3% believed to have little knowledge of the Italian legislation regarding this topic. Mean CS was 29.3 (SD 5.5); mean CSS was 19.1 (SD 3.9). A higher percentage of correct answers in the knowledge test was associated with lower CS (P = 0.019). Higher self-appraised knowledge of the Italian legislation was associated with higher CS (P < 0.001) and higher CSS (P < 0.001).

Conclusions: These findings should prompt policy makers to ensure proper training and support for EMSPs in the matter of prehospital psychiatric emergency management.

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意大利伦巴第大区急救医生对精神病突发事件的处理及相关舒适度：一项横断面研究。

研究目的本研究旨在探讨急救医生（EMSSPs）对院前精神科急诊管理相关法律方面的知识，评估他们的舒适度，并衡量他们所感知的沟通技巧：向在意大利伦巴第大区院前环境中工作的 376 名急救医生发放了一份调查问卷。通过多项选择题测量了医疗法律方面的知识；通过李克特量表问题计算了舒适度得分（CS）和感知沟通技能得分（CSS）。CS从11分（最低）到44分（最高）不等；CSS从8分（最低）到32分（最高）不等：共有 272 名少管所工作人员回答了调查（RR= 72.3%）；45.2% 为女性。平均年龄为 45.76 岁（标准差为 8.8）。知识测试答案的平均正确率为 52.4 (SD 12.3)；81.3% 的人认为对意大利有关该主题的立法知之甚少。CS 平均值为 29.3（SD 5.5）；CSS 平均值为 19.1（SD 3.9）。在知识测试中答对率越高，CS 越低（P = 0.019）。自我评价较高的意大利立法知识与较高的 CS（P < 0.001）和较高的 CSS（P 0.001）相关：这些发现应促使政策制定者确保在院前精神科急救管理方面为急救医疗人员提供适当的培训和支持。

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来源期刊

Disaster Medicine and Public Health Preparedness PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.40

自引率

7.40%

发文量

258

审稿时长

6-12 weeks

期刊介绍： Disaster Medicine and Public Health Preparedness is the first comprehensive and authoritative journal emphasizing public health preparedness and disaster response for all health care and public health professionals globally. The journal seeks to translate science into practice and integrate medical and public health perspectives. With the events of September 11, the subsequent anthrax attacks, the tsunami in Indonesia, hurricane Katrina, SARS and the H1N1 Influenza Pandemic, all health care and public health professionals must be prepared to respond to emergency situations. In support of these pressing public health needs, Disaster Medicine and Public Health Preparedness is committed to the medical and public health communities who are the stewards of the health and security of citizens worldwide.