注射毒品的精神疾病患者中慢性丙型肝炎的诊断被忽视:范围界定综述》。

International journal of mental health nursing Pub Date : 2024-12-01 Epub Date: 2024-08-05 DOI:10.1111/inm.13396
Regan Preston, Michael Christmass, Eric Lim, Shirley McGough, Karen Heslop
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引用次数: 0

摘要

诊断阴影指的是有心理健康问题的人没有得到足够或及时的医疗关注和误诊的现 象。当身体症状被错误地归因于精神健康状况时,就会出现这种情况。本文针对注射吸毒者感染丙型肝炎并同时患有精神疾病的情况,对诊断遮蔽的直接原因和背景因素进行了范围综述。尽管使用直接作用抗病毒药物治疗丙型肝炎取得了重大进展,但由于精神健康状况和身体症状之间存在复杂的相互作用,因此有必要采取细致入微的方法进行准确诊断和有效筛查。本综述采用乔安娜-布里格斯研究所(Joanna Briggs Institute)的范围界定综述方法进行。检索的数据库包括 Medline、Embase、PsycInfo、Global Health、CINAHL 和 Scopus。本综述遵循了《系统综述和荟萃分析首选报告项目》(Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews,PRISMA-ScR)。搜索策略确定了 1995 条记录。共排除了 166 项研究。有 42 项研究符合纳入标准。其中 3 项研究(n = 3)是直接原因,39 项研究(n = 39)与诊断阴影相关的背景因素有关。研究强调了诊断阴影的六个关键主题,其中最突出的是沟通障碍、耻辱感和知识缺陷。认识到并解决慢性丙型肝炎的诊断阴影问题,将有助于加强筛查、诊断和及时进行挽救生命的抗病毒治疗,从而显著改善患者的福利和健康状况。此外,这种积极主动的方法将在推动全球努力到 2030 年消除丙型肝炎方面发挥关键作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Diagnostic Overshadowing of Chronic Hepatitis C in People With Mental Health Conditions Who Inject Drugs: A Scoping Review.

Diagnostic Overshadowing of Chronic Hepatitis C in People With Mental Health Conditions Who Inject Drugs: A Scoping Review.

Diagnostic overshadowing refers to a phenomenon whereby people with mental health conditions encounter inadequate or delayed medical attention and misdiagnosis. This occurs when physical symptoms are mistakenly attributed to their mental health condition. This paper presents a scoping review focusing on direct causes and background factors of diagnostic overshadowing in the context of hepatitis C infection in people who inject drugs and have concurrent mental health conditions. Despite significant strides in hepatitis C treatment with direct-acting antiviral drugs, the complex interplay of mental health conditions and physical symptoms necessitates a nuanced approach for accurate diagnosis and effective screening. This review was conducted using Joanna Briggs Institute's methodology for scoping reviews. The databases searched included Medline, Embase, PsycInfo, Global Health, CINAHL and Scopus. This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). The search strategies identified 1995 records. Overall, 166 studies were excluded. Forty-two (42) studies met the inclusion criteria. Three (n = 3) studies represented direct causes, and 39 (n = 39) with background factors related to diagnostic overshadowing. Studies highlighted six key themes encompassing diagnostic overshadowing, with communication barriers, stigma and knowledge deficiencies being the most prominent. Recognising and addressing diagnostic overshadowing in chronic hepatitis C will lead to increased screening, diagnosis and timely administration of life-saving antiviral therapy, resulting in profound enhancements in well-being and health outcomes. Moreover, this proactive approach will play a pivotal role in advancing the global effort towards eliminating hepatitis C by 2030.

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