Pitkänen Anneli, Hätönen Heli, Kuosmanen Lauri, Välimäki Maritta
University of Turku, Department of Nursing Science, 20014 Turku, Finland.
Int J Nurs Stud. 2008 Nov;45(11):1598-606. doi: 10.1016/j.ijnurstu.2008.03.003. Epub 2008 May 2.
People with mental disorders suffer from impaired quality of life (QoL). In psychiatric hospital wards nurses are in a close relationship with patients and have good opportunities to support patients' QoL. Still, relatively little is known about patients' perceptions related to nursing interventions by which nurses can support the QoL of patients with severe mental illness.
To explore patients' perceptions of nursing interventions in supporting patients' QoL in acute psychiatric inpatient settings.
Explorative descriptive study design.
The study was conducted in seven acute 24-h psychiatric wards of general hospitals in Southern Finland.
Thirty-five inpatients diagnosed with schizophrenia, schizotypal disorder or delusional disorder.
The data were generated through semi-structured interviews and processed by means of qualitative content analysis.
Five main categories of patients' perceptions of nursing interventions were identified to support QoL from patients' descriptions: empowering interventions, social interventions, activating interventions, security interventions and interventions to support physical health.
Impaired QoL of patients with severe mental illness can be supported in acute psychiatric wards through nursing interventions. However, we are not sure how effective these interventions are. Thus, research on the effectiveness of nursing interventions to support patients' QoL is needed.
精神障碍患者的生活质量受损。在精神病医院病房中,护士与患者关系密切,有很好的机会支持患者的生活质量。然而,对于护士可用于支持重症精神疾病患者生活质量的护理干预措施,患者的看法仍知之甚少。
探讨急性精神病住院环境中患者对支持其生活质量的护理干预措施的看法。
探索性描述性研究设计。
该研究在芬兰南部综合医院的七个24小时急性精神病病房进行。
35名被诊断患有精神分裂症、分裂型障碍或妄想障碍的住院患者。
通过半结构化访谈收集数据,并采用定性内容分析法进行处理。
从患者描述中确定了患者对支持生活质量的护理干预措施的五个主要类别:赋权干预、社会干预、激活干预、安全干预和支持身体健康的干预。
在急性精神病病房中,通过护理干预可以支持重症精神疾病患者受损的生活质量。然而,我们不确定这些干预措施的效果如何。因此,需要对支持患者生活质量的护理干预措施的有效性进行研究。