鲍天昊.严重精神障碍合并新冠病毒感染患者闭环管理策略探讨[J].四川精神卫生杂志,2022,35(6):489-492.Bao Tianhao,Closed-loop management strategies for patients with severe mental disorder complicated with COVID-19 infection[J].SICHUAN MENTAL HEALTH,2022,35(6):489-492
严重精神障碍合并新冠病毒感染患者闭环管理策略探讨
Closed-loop management strategies for patients with severe mental disorder complicated with COVID-19 infection
投稿时间:2022-09-06  
DOI:10.11886/scjsws20220906001
中文关键词:  严重精神障碍  新型冠状病毒  闭环管理策略
英文关键词:Severe mental disorder  Novel coronavirus  Closed-loop management strategies
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作者单位邮编
鲍天昊 云南省精神病医院昆明医科大学附属精神卫生中心云南 昆明 650224 650224
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中文摘要:
      在新冠肺炎疫情波动的环境下,严重精神障碍患者在疫情传播链条节点上的预防措施及应对策略,目前的研究结果尚不明确。从既往的防控经验来看,精神卫生专科医疗机构建立行之有效的新发传染病防控体系以及设立过渡病区等手段,有助于降低疫情传播的风险。然而,对于针对严重精神障碍合并新冠病毒感染的患者,其在诊疗过程中精神症状复发或加重,在方舱医院或传染病房无法配合诊疗的状况,目前的管理策略尚未清晰。本文基于抗疫一线实地调研,围绕严重精神障碍合并新冠病毒感染患者的管理现实困难、紧急状态处理策略、一线精神科医护人员的防护条件以及紧急状态下医护人员处理此类患者的法律依据等方面,对严重精神障碍患者在感染新冠病毒状态下的管理策略进行探讨。
英文摘要:
      With the fluctuating condition of the COVID-19 epidemic, the current findings remain unclear about the preventive measures and coping strategies for patients with severe mental disorders at the nodes of the transmission chain. Past experience in prevention and control has shown that establishing an effective system for emerging infectious disease prevention and control and establishing transitional wards in specialist mental healthcare institutions play a significant role in reducing the risk of epidemic transmission. However, there is no formulated strategy for the management of patients with severe mental disorders and COVID-19 infection who have recurrent or worsened mental symptoms during the diagnosis and treatment of COVID-19 and are unable to cooperate with the treatment in Fangcang shelter hospitals or infectious wards. Based on the field research in the front line of the epidemic prevention, this paper discusses the management strategies of patients with severe mental disorders and COVID-19 infection in the context of the practical difficulties in managing patients with severe mental disorders and COVID-19 infection, emergency management strategies, protective conditions for front-line psychiatric medical staff and the legal basis for the management of patients with severe mental disorders and COVID-19 infection in emergency situations.
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