西班牙 COVID-19 大流行第一年期间严重精神疾病患者及其护理人员的社会经历和健康需求。

IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
European Journal of General Practice Pub Date : 2024-12-01 Epub Date: 2024-02-12 DOI:10.1080/13814788.2024.2310088
Juan Andrés Ramos-Ruiz, Alejandro Pérez-Milena, Carmen Noguera-Cuenca, Beatriz Ruiz-Díaz
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引用次数: 0

摘要

背景:卫生当局对居民实施的严格隔离措施导致非正式社会支持网络长期中断。这种新的社会状况和医疗保健服务的减少,使严重精神疾病(SMI)患者及其照顾者产生了新的需求:本研究旨在了解西班牙 COVID-19 大流行第一年期间重性精神病患者的生活经历和健康需求:方法: 采用半结构式二元访谈的定性设计,从 2022 年 1 月至 12 月进行。通过西班牙南部农村和城市地区的关键信息提供者,对 SMI 患者及其护理人员进行了有目的的抽样调查。在对访谈记录进行评估后,通过三角测量法确定并分类了主题。通过使用 NVivo 软件进行内容分析,确定了代码:半结构式二元访谈(21 个),确定了三个主要类别:1.社会隔离:加剧,导致个人更加脆弱,精神症状加重,照顾者疲惫不堪。2.获得医疗服务的机会:减少,面对面咨询减少,难以处理紧急状况,失能和残疾病人难以得到电话关注。3.3. 医疗服务的连续性:由于基层医疗机构和医院之间缺乏沟通,导致对医疗专业人员的不信任,从而降低了医疗服务的连续性:结论:COVID-19 禁闭加剧了 SMI 患者的孤独感和健康自我感知。需要更多正式的社会支持。全科医生的作用对于避免预约延误以及初级医疗和专科医疗之间缺乏协调至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Social Experiences and Health Needs of Patients with Severe Mental Illness and their Caregivers during the first year of the COVID-19 pandemic in Spain.

Background: The strict isolation measures for the population imposed by the health authorities caused a prolonged disruption of informal social support networks. Both this new social situation and the decrease in accessibility to health care have generated new needs in people with severe mental illness (SMI) and their caregivers.

Objectives: This study provides insight into life experiences and health needs of a population with SMI during the first year of the COVID-19 pandemic in Spain.

Methods: Qualitative design using semi-structured dyadic interviews, conducted from January through December 2022. A purposive sampling of patients with SMI and their caregivers was carried out through key informants in rural and urban localities in southern Spain. Verbatims were identified and classified by triangulation after the evaluation of the interview transcripts. The codes were defined through content analysis using the NVivo software.

Results: Semi-structured dyadic interviews (21), identifying three main categories: 1. Social isolation: increased, causing greater personal vulnerability, exacerbation of psychiatric symptoms and exhaustion in caregivers. 2. Accessibility to Health Services: decreased with fewer face-to-face consultations, with difficulty in managing urgent situations and telephone attention in decompensated and disabled patients. 3. Continuity of healthcare: decreased with distrust in health professionals due to lack of communication between primary care and the hospital.

Conclusion: COVID-19 confinement exacerbated loneliness and worse health self-perception in SMI people. Greater formal social support was required. GPs role is key to avoiding delays in appointments and lack of coordination between primary and specialised care.

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来源期刊
European Journal of General Practice
European Journal of General Practice PRIMARY HEALTH CARE-MEDICINE, GENERAL & INTERNAL
CiteScore
5.10
自引率
5.90%
发文量
31
审稿时长
>12 weeks
期刊介绍: The EJGP aims to: foster scientific research in primary care medicine (family medicine, general practice) in Europe stimulate education and debate, relevant for the development of primary care medicine in Europe. Scope The EJGP publishes original research papers, review articles and clinical case reports on all aspects of primary care medicine (family medicine, general practice), providing new knowledge on medical decision-making, healthcare delivery, medical education, and research methodology. Areas covered include primary care epidemiology, prevention, diagnosis, pharmacotherapy, non-drug interventions, multi- and comorbidity, palliative care, shared decision making, inter-professional collaboration, quality and safety, training and teaching, and quantitative and qualitative research methods.
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