摘要
精神伦理学关注精神障碍患者送、诊、收、治过程的合法合规性,科学研究中精神障碍受试者的权益保护,为公众提供精神心理与行为伦理问题的教育。新型冠状病毒肺炎疫情对公众的精神心理状况产生了较大影响是不容回避的问题,科学研究和试验干预都势在必行,严重精神障碍患者感染新型冠状病毒肺炎为医学临床实践也带来了新的伦理挑战。其中,知情同意、非自愿治疗和病耻感的伦理应对尤为重要。国务院应对新型冠状病毒肺炎疫情联防联控机制印发的《关于依法科学精准做好新冠肺炎疫情防控工作的通知》,其中的《精神卫生医疗机构新冠肺炎防控技术方案》对精神卫生医疗机构在卫生管理、预防性卫生措施、个人防护、疫情防控策略、疫情防控措施五方面提出了具体的实施方案,以期做好机构内防控及患者管理工作,随之对精神障碍患者的伦理管理工作也提出新的要求。
Psychological ethics focuses on the legality and compliance of the process of sending,diagnosing,administrating and treating patients with mental disorders,protects the rights and interests of subjects with mental disorders in scientific research,and provides the public with education on the issues of psychosocial and behavioral ethics.It is an unavoidable problem that the outbreak of COVID-19Outbreaks has a great impact on the mental and psychological conditions of the public.Scientific research and experimental intervention are imperative.Patients with severe mental disorders are infected with the COVID-19Outbreaks,which has brought ethical challenges to medical practice.Among them,ethical responses,such as informed consent,involuntary treatment and stigma,are particularly important.Recently,the State Council issued the Notice on Scientifically and Accurately Preventing and Controlling COVID-19Outbreaks Epidemic Situation in response to the COVID-19Outbreaks Epidemic Prevention and Control Mechanism.Among them,the Technical Plan for COVID-19Outbreaks Prevention and Control in Mental Health Medical Institutions put forward specific implementation plans for mental health medical institutions in the five aspects of health management,preventive health measures,personal protection,epidemic prevention and control strategies,epidemic prevention and control measures,so as to do a good job in the organizations’prevention and control and patient’s management.Ethical management work also puts forward new requirements,in order to do best in the prevention and control of institutions and the management of patients,and then put forward new requirements for the ethical management of patients with mental disorders.
作者
王雪芹
孙洪强
韩聿琳
孙艳坤
李义庭
陆林
WANG Xueqin;SUN Hongqiang;HAN Yulin;SUN Yankun;LI Yiting;LU Lin(Peking University Sixth Hospital/Peking University Institute of Mental Health/Key Laboratory of Mental Health,National Health Commission(Peking University)/National Clinical Research Center for Mental Disorders(Peking University Sixth Hospital),Beijing 100191,China;Office of Humanities and Social Sciences,Peking University,Beijing 100871,China;College of Public Health,Capital Medical University,Beijing 100069,China)
出处
《中国医学伦理学》
2020年第3期279-283,共5页
Chinese Medical Ethics
基金
北京市卫生健康委员会“北京市医学伦理管理和审查质量提高项目”(2019-1)
国家自然科学基金委国际(地区)合作与交流项目“中国-中美洲青少年精神疾病预防和干预措施的推广研究”(81761128036)。
关键词
精神心理与行为障碍
严重精神障碍
伦理审核
知情同意
非自愿治疗
病耻感
Psychological and Behavioral Disorders
Severe Mental Disorders
Ethical Review
Informed Consent
Involuntary Treatment
Stigma
