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心理健康服务中幸福感的定位和提升:一项定性研究。

The place and promotion of well-being in mental health services: a qualitative investigation.

机构信息

Faculty of Sport, Health and Social Care, University of Gloucestershire, Gloucester, UK.

出版信息

J Psychiatr Ment Health Nurs. 2010 Feb;17(1):1-8. doi: 10.1111/j.1365-2850.2009.01480.x.

Abstract

The study investigated the place and promotion of well-being from the perspectives of services users and mental health professionals. * Data from focus groups and interviews were analysed and found that well-being promotion was available, for example weight management groups in mental health services. However, they also found that there were some contradictions between the groups of people interviewed about what was available and what to promote in the future. * The study concludes suggesting partnerships with local communities to further develop well-being services, such as opportunities for physical activity, for people with mental health problems. Abstract This study explored service users' and mental health professionals' understandings, experiences and opinions of well-being and its promotion within mental health services. A qualitative case study methodology included nine participants (five adult service users, three mental health professionals, one senior manager) who were purposively sampled from a Mental Health Trust in England. Service users participated in a focus group, while individual semi-structured interviews were held with the mental health professionals and senior manager. Interpretative phenomenological analysis of the data revealed five main themes including well-being as a holistic concept; well-being promotion; the place, promotion and position of well-being; role of mental health services in well-being promotion; and areas for further improvement. Findings revealed evidence of well-being promotion; however, there were contradictions regarding what was known between the groups of participants and what could be provided in the future. Implications for practice include the need to establish more effective partnership working between mental health services and local communities, especially in light of financial constraints within health services at large. This could assist the increased provision of therapeutic services for well-being promotion.

摘要

本研究从服务使用者和心理健康专业人员的角度探讨了幸福感的定位和提升。* 通过对焦点小组和访谈的数据进行分析,发现已经存在一些促进幸福感的措施,例如在心理健康服务中提供体重管理小组。然而,研究也发现,接受访谈的人群在现有的促进幸福感的措施和未来的措施方面存在一些矛盾。* 研究得出的结论是,建议与当地社区建立伙伴关系,进一步发展心理健康服务,例如为有心理健康问题的人提供体育活动机会。

摘要 本研究探讨了服务使用者和心理健康专业人员对幸福感及其在心理健康服务中的提升的理解、经验和看法。采用定性案例研究方法,从英格兰一家心理健康信托机构中有意选取了 9 名参与者(5 名成年服务使用者、3 名心理健康专业人员、1 名高级管理人员)。服务使用者参加了焦点小组,而心理健康专业人员和高级管理人员则进行了单独的半结构化访谈。对数据的解释现象学分析揭示了五个主要主题,包括幸福感作为一个整体概念;幸福感提升;幸福感的定位、提升和地位;心理健康服务在幸福感提升中的作用;以及进一步改进的领域。研究结果显示了幸福感提升的证据;然而,参与者群体之间在已知内容和未来可提供内容方面存在矛盾。实践意义包括需要在心理健康服务和当地社区之间建立更有效的伙伴关系,特别是考虑到整个卫生服务中的财务限制。这可以帮助增加用于幸福感提升的治疗服务的提供。

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