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Psychiatrische Praxis最新文献

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["Is there a Link Between Heat Waves and Mental Health Emergencies in the Emergency Department?"] ["热浪与急诊科的精神健康突发事件之间有联系吗？］
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-10-01 Epub Date: 2024-07-22 DOI: 10.1055/a-2339-4967
Heribert Kirchner, Heiko Ullrich, Nik Hulsmans, Patrick Brzoska, Frank-Gerald B Pajonk
{"title":"[\"Is there a Link Between Heat Waves and Mental Health Emergencies in the Emergency Department?\"]","authors":"Heribert Kirchner, Heiko Ullrich, Nik Hulsmans, Patrick Brzoska, Frank-Gerald B Pajonk","doi":"10.1055/a-2339-4967","DOIUrl":"10.1055/a-2339-4967","url":null,"abstract":"<p><strong>Objective: </strong>There is evidence suggesting that climate change, coupled with an increase in the frequency and severity of heatwaves, affects mental health. The aim of this study was to investigate potential associations between high temperature and the utilization of an emergency department (ED) by individuals with psychiatric disorders.</p><p><strong>Methods: </strong>A retrospective analysis of all psychiatric emergency patients from 2015 to 2022 (N=15478) was conducted and compared with local temperature data.</p><p><strong>Results: </strong>Particularly during heatwaves, more psychiatric emergency patients presented to the ED.</p><p><strong>Conclusion: </strong>Beyond the results identified during heatwaves, our extensive analysis of the examined ED revealed no additional significant effects of heat on psychiatric emergencies. This contradicts findings from other studies. Other systemic influences, such as the utilization of the ED during the Covid-19 pandemic, could have modified the results.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"392-395"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141748943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Profiles and Characteristics of Mental Health Nurses in Community-Based Health Care for People with Mental Illness - Integrative Review and Thematic Framework Analysis]. [以社区为基础的精神疾病患者健康护理中精神健康护士的概况和特点 - 综合回顾和主题框架分析]。
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-10-01 Epub Date: 2024-07-16 DOI: 10.1055/a-2349-4764
Stefan Scheydt, Anna Hegedüs
{"title":"[Profiles and Characteristics of Mental Health Nurses in Community-Based Health Care for People with Mental Illness - Integrative Review and Thematic Framework Analysis].","authors":"Stefan Scheydt, Anna Hegedüs","doi":"10.1055/a-2349-4764","DOIUrl":"10.1055/a-2349-4764","url":null,"abstract":"<p><strong>Objective: </strong>To examine the specific scope of practice of community mental health nurses (CMHNs) across CMHN roles and care contexts.</p><p><strong>Methods: </strong>Systematic literature searches in CINAHL, PubMed/Medline, Google and Google Scholar, supplemented by a search of various publishers' databases. Data were analyzed and synthesized using the framework analysis method.</p><p><strong>Results: </strong>This paper identifies two role profiles in CMHN practice that describe distinct functions in the outpatient care of people with mental illness: (A) Primary Care CMHN and (B) Specialized Care CMHN. For each role profile, contextual factors and specific role content are described and analyzed for similarities and differences.</p><p><strong>Conclusions: </strong>The described role profiles can serve as a template for the development of curricula in the field of CMHN. It is important to consider the national context as well as the current and future need for psychosocial care.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"351-360"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11464164/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141627473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Digital Health in Psychiatry - Potentials and Risks]. [精神病学中的数字健康--潜力与风险]。
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-10-01 Epub Date: 2024-10-10 DOI: 10.1055/a-2392-2741
Stefanie Schreiter
{"title":"[Digital Health in Psychiatry - Potentials and Risks].","authors":"Stefanie Schreiter","doi":"10.1055/a-2392-2741","DOIUrl":"10.1055/a-2392-2741","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"51 7","pages":"347-350"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142401076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Rescue Missions with Patients with Psychiatric and Psychosocial Symptoms: An Analysis from Eastern Lower Saxony]. [有精神和心理社会症状的病人的救援任务：来自下萨克森州东部的分析]。
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-10-01 Epub Date: 2024-05-29 DOI: 10.1055/a-2310-5534
Eva Maria Noack, Anke Bramesfeld, Sybille Schmid, Dominik Schröder, Frank Müller
{"title":"[Rescue Missions with Patients with Psychiatric and Psychosocial Symptoms: An Analysis from Eastern Lower Saxony].","authors":"Eva Maria Noack, Anke Bramesfeld, Sybille Schmid, Dominik Schröder, Frank Müller","doi":"10.1055/a-2310-5534","DOIUrl":"10.1055/a-2310-5534","url":null,"abstract":"<p><strong>Objective: </strong>Characterization of medical emergencies of patients with psychiatric symptoms or in psychosocial crisis.</p><p><strong>Methods: </strong>Analysis of emergency medical services (EMS) mission logs from four German EMS stations of patients aged 12-65 from 2019 to 2020.</p><p><strong>Results: </strong>23.4% of missions involved patients with psychiatric or psychosocial symptoms (1.6% psychotic, 3.0% suicidal, 7.1% psychosocial crisis, 15.7% intoxicated). On average, these patients were younger than those with other symptoms. 48.9% exhibited additional somatic complaints. The COVID-19 pandemic showed only little impact on the frequency of such emergencies.</p><p><strong>Conclusion: </strong>Psychiatric and psychosocial symptoms account for a significant proportion of rescue missions in our sample. Managing psychiatric and psychosocial emergencies should be an integral part of the training of medical and paramedical staff.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"367-375"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11464165/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141175188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Discharged, but where to? The Current Situation of Long Stay Patients in German Psychiatric Clinics]. [出院了，但去哪儿？德国精神病诊所长期住院病人的现状]。
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-10-01 Epub Date: 2024-05-15 DOI: 10.1055/a-2307-5236
Sarah Jenderny, Sylvia Claus, Peter Falkai, Andreas Heinz, Andreas Meyer-Lindenberg, Oliver Pogarell, Bettina Wilms, Ingmar Steinhart
{"title":"[Discharged, but where to? The Current Situation of Long Stay Patients in German Psychiatric Clinics].","authors":"Sarah Jenderny, Sylvia Claus, Peter Falkai, Andreas Heinz, Andreas Meyer-Lindenberg, Oliver Pogarell, Bettina Wilms, Ingmar Steinhart","doi":"10.1055/a-2307-5236","DOIUrl":"10.1055/a-2307-5236","url":null,"abstract":"<p><strong>Objective: </strong>The study analyses the number, characteristics and reasons for a length of stay of patients in German psychiatric clinics in excess of 6 months.</p><p><strong>Methods: </strong>The study was implemented in the form of a nationwide online survey, which was addressed to chief physicians of psychiatric clinics.</p><p><strong>Results: </strong>In the sample, 174 patients in 80 psychiatric clinics were identified who could not be discharged because no suitable follow-up services were available in the region. The majority of patients are male, often have an F2 diagnosis and exhibit aggressive behaviour during their hospital stay.</p><p><strong>Conclusion: </strong>To avoid inappropriate health care and prevent prolonged stays for a subgroup of mentally ill people, individual complex services should be implemented in community psychiatry.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"361-366"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140945739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Inpatient Equivalent Home Treatment of Gerontopsychiatric Patients (ieht-g) in a Major German City - An Observational Study]. [德国某大城市老年精神病患者的住院等效家庭治疗（ieht-g）--一项观察性研究]。
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-10-01 Epub Date: 2024-07-22 DOI: 10.1055/a-2328-9263
Samuel Paul Couturier, Gloria Spielmann-Benson, Lutz Frölich, Lucrezia Hausner
{"title":"[Inpatient Equivalent Home Treatment of Gerontopsychiatric Patients (ieht-g) in a Major German City - An Observational Study].","authors":"Samuel Paul Couturier, Gloria Spielmann-Benson, Lutz Frölich, Lucrezia Hausner","doi":"10.1055/a-2328-9263","DOIUrl":"10.1055/a-2328-9263","url":null,"abstract":"<p><strong>Objective: </strong>Patient characterization and evaluation of gerontopsychiatric inpatient equivalent treatment (IEHT-G) in a large German city.</p><p><strong>Methods: </strong>Collection of sociodemographic and clinical data, as well as assessment of clinical severity (CGI), health and social functioning (HoNOS-D) and autonomous performance of activities of daily living (IADL) at the beginning and end of IEHT-G.</p><p><strong>Results: </strong>53 subjects (age: MW=74.81; 77.4% women) were analyzed. Main psychiatric diagnoses were affective disorders (n=25), schizophrenia and schizotypal disorders (n=20). 12 patients (22.64%) had a cognitive disorder. The CGI, HoNOS-D and IADL showed a significant improvement over the treatment period (paired t-test, p<0.001).</p><p><strong>Conclusion: </strong>In an urban gerontopsychiatric population, IEHT-G can be implemented well. Symptom severity, social functioning and autonomy improved significantly.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"385-391"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141748944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Attitudes and Expectations of Psychological and Medical Psychotherapists Towards Open Notes: Analysis of Qualitative Survey Responses]. [心理和医学心理治疗师对开放式笔记的态度和期望：定性调查反馈分析]。
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-10-01 Epub Date: 2024-05-29 DOI: 10.1055/a-2320-8929
Eva Meier-Diedrich, Katharina Neumann, Martin Heinze, Julian Schwarz
{"title":"[Attitudes and Expectations of Psychological and Medical Psychotherapists Towards Open Notes: Analysis of Qualitative Survey Responses].","authors":"Eva Meier-Diedrich, Katharina Neumann, Martin Heinze, Julian Schwarz","doi":"10.1055/a-2320-8929","DOIUrl":"10.1055/a-2320-8929","url":null,"abstract":"<p><strong>Objective: </strong>This study explores attitudes and expectations of psychotherapists (PT) towards the introduction of digital patient access to clinical notes (\"Open Notes\"; ON)), including the advantages and disadvantages in psychotherapeutic practice.</p><p><strong>Methods: </strong>As part of the PEPPPSY study, an online survey was conducted. Free text responses (n = 107) were qualitatively analysed using thematic analysis.</p><p><strong>Results: </strong>129 psychological and medical PT took part in the survey. PT saw advantages such as transparency and patient-centred documentation, but feared disadvantages for the therapeutic relationship and an increased workload through the implementation of ON. Concerns were raised about data security and negative effects on treatment. Recommendations for implementation include patient-specific access adaptations and guided access.</p><p><strong>Conclusion: </strong>PT are ambivalent about ON. Further research and guidelines for the use of ON in psychotherapy are needed.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"376-384"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141175185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Mental Health Awareness - a Development without Side Effects?] [心理健康意识--没有副作用的发展？］
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-09-01 Epub Date: 2024-09-12 DOI: 10.1055/a-2366-3305
Sven Speerforck, Georg Schomerus
{"title":"[Mental Health Awareness - a Development without Side Effects?]","authors":"Sven Speerforck, Georg Schomerus","doi":"10.1055/a-2366-3305","DOIUrl":"10.1055/a-2366-3305","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"51 6","pages":"293-295"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142293940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Krankenhauspsychiatrie in der Krise – ist konsequente Ambulantisierung die Lösung? – Pro. 危机中的医院精神科--持续的门诊治疗是解决之道吗？- Pro.
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-09-01 Epub Date: 2024-09-12 DOI: 10.1055/a-2320-7685
Peter Brieger, Susanne Menzel
{"title":"Krankenhauspsychiatrie in der Krise – ist konsequente Ambulantisierung die Lösung? – Pro.","authors":"Peter Brieger, Susanne Menzel","doi":"10.1055/a-2320-7685","DOIUrl":"https://doi.org/10.1055/a-2320-7685","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"51 6","pages":"296-297"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142293942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Implementation of an Open Door Policy on Two Acute Care Units]. [在两家急症监护室实施开放政策]。
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2024-09-01 Epub Date: 2024-04-26 DOI: 10.1055/a-2296-0327
Lisa Katharina Schreiber, Florian Sattler, Andreas Jochen Fallgatter, Tilman Steinert, Florian Metzger
{"title":"[Implementation of an Open Door Policy on Two Acute Care Units].","authors":"Lisa Katharina Schreiber, Florian Sattler, Andreas Jochen Fallgatter, Tilman Steinert, Florian Metzger","doi":"10.1055/a-2296-0327","DOIUrl":"10.1055/a-2296-0327","url":null,"abstract":"<p><strong>Background: </strong>Since the amendments to the Baden-Württemberg Psychiatric Assistance Act, psychiatric patients who are treated involuntarily can be admitted to open wards. As a result, a comprehensive research project was carried out to implement an open-door policy. This work evaluates the attitudes of patients and therapeutic teams.</p><p><strong>Methods: </strong>Over the course of a year, 8 focus groups with 6 to 11 participants were conducted with patients and staff before and at the end of the intervention phase and analyzed qualitatively.</p><p><strong>Results: </strong>The concept of open doors was received positively. The staff raised safety concerns whereas on the patient side the door status seemed to be of limited relevance regarding the experience of autonomy or stigmatization.</p><p><strong>Discussion: </strong>The elaboration of conflict issues allows a further development of specific concepts towards the implementation of open doors on psychiatric acute wards.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"300-306"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11392569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140871593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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