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当台湾家庭为曾经有过自杀倾向的患者提供护理时所使用的行动/互动策略的扎根理论研究。

A grounded theory study of action/interaction strategies used when Taiwanese families provide care for formerly suicidal patients.

机构信息

Department of Nursing, I-Shou University, No.8, Yida Rd., Yanchao Township, Kaohsiung County 82445, Taiwan.

出版信息

Public Health Nurs. 2009 Nov-Dec;26(6):543-52. doi: 10.1111/j.1525-1446.2009.00813.x.

DOI:10.1111/j.1525-1446.2009.00813.x
PMID:19903274
Abstract

OBJECTIVES

There is a dearth of evidence on the care that families provide to their relatives after they have been discharged from hospital following an attempted suicide. The aim of this study was to explore ex-patients' and family caregivers' perceptions of the care provided at home following hospital discharge.

DESIGN AND SAMPLE

A qualitative approach using Grounded Theory was adopted. Suicidal ex-patients (n=15) and family caregivers (n=15) were contacted in the south of Taiwan.

MEASURES

Data were collected through interviews and the data were analyzed using open, axial, and selective coding.

RESULTS

A substantive theory was developed from the findings. However, for the purpose of this paper, the section of the paradigm model named the action/interaction strategies is presented and discussed. Three categories emerged in the action/interaction section relating to the family care of relatives who had been suicidal. They were: (1) "guarding the person day and night," which helped to ensure that their relatives felt safe; (2) "maintaining the activities of daily living," which promoted their physical health and recovery; and (3) "creating a nurturing environment," which facilitated their mental and emotional healing.

CONCLUSIONS

Public health nurses could use the findings of this study as a theoretical map when providing health information to family caregivers during home visits.

摘要

目的

关于自杀未遂出院后的家庭为亲属提供的护理,相关证据十分匮乏。本研究旨在探讨出院后家庭护理的患者和家庭照顾者的看法。

设计和样本

采用扎根理论的定性方法。在台湾南部联系了 15 名自杀出院患者和 15 名家庭照顾者。

措施

通过访谈收集数据,并使用开放式、轴向式和选择性编码进行数据分析。

结果

从研究结果中得出了一个实质性理论。然而,为了本文的目的,呈现并讨论了范式模型中名为行动/互动策略的部分。在与自杀亲属的家庭护理相关的行动/互动部分中出现了三个类别:(1)“日夜守护”,这有助于确保他们的亲属感到安全;(2)“维持日常生活活动”,促进他们的身体健康和康复;(3)“营造滋养环境”,促进他们的心理和情感疗愈。

结论

公共卫生护士可以在家庭访视时将本研究的结果作为理论依据,为家庭照顾者提供健康信息。

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引用本文的文献

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Caring for a friend or family member who has experienced suicidal behaviour: A systematic review and qualitative synthesis.照顾经历过自杀行为的朋友或家人:系统评价和定性综合。
Psychol Psychother. 2023 Jun;96(2):426-447. doi: 10.1111/papt.12449. Epub 2023 Feb 14.
2
Viewpoint: Toward Involvement of Caregivers in Suicide Prevention Strategies; Ethical Issues and Perspectives.观点:促进护理人员参与自杀预防策略;伦理问题与观点。
Front Psychol. 2018 Dec 18;9:2457. doi: 10.3389/fpsyg.2018.02457. eCollection 2018.
3
Systematic Literature Review of Attempted Suicide and Offspring.
自杀未遂与后代:系统文献综述
Int J Environ Res Public Health. 2018 May 8;15(5):937. doi: 10.3390/ijerph15050937.