COVID-19对精神科护理和获得精神卫生服务的影响:一项患者意见调查

R. Tempier, E. M. Bouattane, Muadi Delly Tshiabo, J. Abdulnour, Helena Jacob
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摘要

目的:COVID-19大流行已经(并将继续)对患者产生相当大的影响,这些患者的精神状况因隔离、日常生活、活动中断和失去社区支持而恶化,如果不是感染本身的话。因此,探索和评估现有的方式,并提出新的方式来沟通和维持治疗师和患者之间强大的治疗联盟是很重要的。方法:基于自制网格的半结构化访谈,旨在评估参与者对获取远程医疗服务及其效率的意见。学习时间:2020年3月至2021年6月。结果:新冠肺炎对日常生活的影响:70%的人因疫情改变生活而被隔离,65%的人感到焦虑,42%的人感到抑郁,28%的人感到愤怒。在COVID-19大流行期间,远程咨询被认为是大流行时代的良好解决方案,不需要流离失所(30%)。38%的人认为视频咨询是比电话咨询更好的选择,60%的人表示视频/电话咨询与面对面咨询的舒适度相似。在这次大流行后不久解决精神卫生保健服务提供问题的建议如下:患者(60%)有兴趣访问有关其城市/地区可用精神卫生服务资源的网站(或移动应用程序)。结论:结果表明,孤立和焦虑是影响被试社交生活和状态的最主要因素,抑郁和愤怒也有一定程度的影响。参与者基本上接受了向虚拟医疗的过渡,并得到了一些改进。
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COVID-19, consequences on psychiatric care and access to mental health services: A patients’ opinions survey
Objective: The COVID-19 pandemic has (and will continue to have) quite a strong impact on patients whose mental conditions worsen due to isolation, disruption of usual routine, activities, and loss of community support, if not the infection itself. Therefore, exploring and evaluating existing ways and proposing new ways to communicate and maintain a strong therapeutic alliance between therapists and patients was important.Methods: A semi-structured interview based on a homemade grid designed to assess participants’ opinions on access to telehealth services and their efficiency. Period of study: March 2020 to June 2021.Results: Impact of COVID-19 on daily life: 70% experienced isolation due to the pandemic life-changing, 65% experienced anxiety, 42% depression, and 28% anger. Teleconsultations’ perceptions during the COVID-19 pandemic were perceived as a good solution for a pandemic era and no need for displacement (30%). 38% thought that video consultation is a better option than telephone consultations, with 60% stating a similar level of comfort in video/phone consultation compared to in-person. Recommendations to address Mental Health (MH) care delivery soon after this pandemic were: Patients (60%) are interested in accessing a website (or mobile application) on resources of MH services available in their city/region.Conclusions: Results show that isolation and anxiety were the factors most affecting the social life and conditions of participants, with some significant levels of depression and anger. Participants largely accepted the transition to virtual care with some improvements.
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