{"id":14203,"date":"2025-05-09T14:30:26","date_gmt":"2025-05-09T12:30:26","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=14203"},"modified":"2025-07-14T20:05:21","modified_gmt":"2025-07-14T18:05:21","slug":"en-systematisk-litteraturgennemgang-af-etnicitet-og-brugen-af-akut-beroligende-tvangsmedicin-i-voksenpsykiatriske-akutmodtagelser","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2025\/05\/09\/en-systematisk-litteraturgennemgang-af-etnicitet-og-brugen-af-akut-beroligende-tvangsmedicin-i-voksenpsykiatriske-akutmodtagelser\/","title":{"rendered":"En systematisk litteraturgennemgang af etnicitet og brugen af akut beroligende tvangsmedicin i voksenpsykiatriske akutmodtagelser"},"content":{"rendered":"

\"\"<\/p>\n

Pedersen ML, Bricca A, Baker J, Schjerning O, Munk-Olsen T, Gildberg FA. Ethnic disparities in rapid tranquillisation use and explanations in adult mental health emergency settings?
\n<\/span>A systematic review. In: General Hospital Psychiatry. 2025. <\/span>DOI: 10.1016\/j.genhosppsych.2025.04.014<\/a><\/p>\n

Download som PDF<\/a><\/p>\n

Introduktion
\n<\/span><\/strong>Etnicitet er ofte blevet beskrevet som en risikofaktor for anvendelsen af akut beroligende tvangsmedicin (ABT) i psykiatriske kontekster. Form\u00e5let med dette studie var at unders\u00f8ge sammenh\u00e6ngen mellem patienters etnicitet og brugen af ABT i voksenpsykiatriske akutmodtagelser samt at udforske mulige forklaringer p\u00e5 brugen af ABT i relation til etnicitet i disse kontekster.<\/span><\/p>\n

Metode
\n<\/span><\/strong>Studiet blev udf\u00f8rt i overensstemmelse med anbefalingerne i Cochrane Handbook. Studier blev inkluderet, hvis de rapporterede om sammenh\u00e6ngen mellem etnicitet og brugen af ABT i voksenpsykiatriske akutmodtagelser. Systematiske s\u00f8gninger blev udf\u00f8rt i seks databaser samt i gr\u00e5 litteratur og referencelister. Der blev udf\u00f8rt en narrativ syntese, og derudover en meta-analyse for at estimere sammenh\u00e6ngen mellem etnicitet og brugen af ABT. Potentielle forklaringer p\u00e5 brugen af ABT i relation til etnicitet blev ogs\u00e5 syntetiseret narrativt.<\/span><\/p>\n

Resultater
\n<\/span><\/strong>S\u00f8gningen identificerede 5489 studier, hvoraf fem opfyldte inklusionskriterierne. Studierne stammede fra Norge, Spanien og USA. Der blev anvendt forskellige forst\u00e5elser af etnicitet ved sammenligning af etniske grupper. Den samlede odds ratio for at modtaget ABT for personer med etnisk minoritetsbaggrund i voksenpsykiatriske akutmodtagelser sammenlignet med personer med etnisk majoritetsbaggrund var 1,43 (95% CI: 0,95-2,15). Konfidensintervallet var dog bredt, og resultatet var ikke statistisk signifikans.<\/span><\/p>\n

Konklusion
\n<\/span><\/strong>Personer med etnisk minoritetsbaggrund modtager oftere ABT i voksenpsykiatriske akutmodtagelser end personer med etnisk majoritetsbaggrund, men forskellen var ikke statistisk signifikant. Dog havde den specifikke etniske gruppe af personer beskrevet som sorte signifikant \u00f8gede odds. Der er behov for yderligere forskning for at bekr\u00e6fte disse fund og opn\u00e5 en dybere forst\u00e5else af de bagvedliggende forklaringer p\u00e5 s\u00e5danne uligheder.<\/span><\/p>\n

Implikationer for praksis
\n<\/span><\/strong>Dette studie peger p\u00e5 en potentiel ulighed i anvendelsen af ABT i voksenpsykiatriske akutmodtagelser. Det er afg\u00f8rende, at disse kontekster sikrer st\u00f8rre kulturel sikkerhed, s\u00e5 beslutninger om brugen af ABT altid baseres p\u00e5 individuelle kliniske behov og ikke p\u00e5virkes af patienters etnicitet.<\/span><\/p>\n

Projektet er st\u00f8ttet med en bevilling fra Novo Nordisk Fonden (NNF22OC0080419)<\/span><\/p>\n

Martin Locht Pedersen. Sygeplejerske, Cand.cur., Ph.d.-studerende, Retspsykiatrisk Forskningsenhed Middelfart, Institut for Regional Sundhedsforskning, Syddansk Universitet & Psykiatrisk Afdeling Middelfart, Psykiatrien i Region Syddanmark. martin.locht.pedersen@rsyd.dk<\/a><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Pedersen ML, Bricca A, Baker J, Schjerning O, Munk-Olsen T, Gildberg FA. Ethnic disparities in rapid tranquillisation use and explanations 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