Buckley Sinéad
School of Nursing and Midwifery, Trinity College, Dublin.
Br J Nurs. 2010;19(19):1226-30. doi: 10.12968/bjon.2010.19.19.79303.
20% of young people experience mental health distress (e.g. depression, suicide, and psychological disturbances of varying intensity). Failure to provide timely, effective and appropriate interventions to young people experiencing mental health difficulties can have profound and lasting consequences. Nurses practising in paediatric settings should be prepared to nurse young people with mental health problems.
The study methodology was an exploratory mixed methods approach, with both descriptive statistics and qualitative findings. This study was undertaken with registered nurses from two children's medical/surgical units in the Republic of Ireland. A questionnaire entitled 'Nurses' Experiences of Nursing Young People with Mental Health Problems in the Paediatric Ward Setting' was used for data collection. SPSS 11.0 and content analysis were used for data analysis. A convenience sample was used, with a response rate of 56%.
68% of nurses had inadequate educational preparation for nursing young people with mental health problems; 81% of nurses believed that in-house educational courses did not facilitate care for mental health issues in young people. Anorexia nervosa, depression and suicidal tendencies were the three most common problems identified in this study. Overall, 67% of nurses were dissatisfied with having to nurse young people with mental health problems on a general paediatric ward.
87% of nurses highlighted that young people with mental health problems should be nursed by mental health nurses in separate adolescent units. Recommendations are made for further developments in the nursing care of young people with mental health problems.
20%的年轻人经历心理健康困扰（如抑郁、自杀以及不同程度的心理障碍）。未能为有心理健康问题的年轻人提供及时、有效且恰当的干预可能会产生深远且持久的后果。在儿科环境中执业的护士应做好护理有心理健康问题的年轻人的准备。
本研究方法为探索性混合方法，包括描述性统计和定性研究结果。该研究针对爱尔兰共和国两个儿童内科/外科病房的注册护士展开。使用一份名为“儿科病房中护士护理有心理健康问题的年轻人的经历”的问卷进行数据收集。采用SPSS 11.0和内容分析法进行数据分析。采用便利抽样，回复率为56%。
68%的护士对护理有心理健康问题的年轻人的教育准备不足；81%的护士认为内部教育课程无助于护理年轻人的心理健康问题。神经性厌食症、抑郁症和自杀倾向是本研究中确定的三个最常见问题。总体而言，67%的护士对在普通儿科病房护理有心理健康问题的年轻人表示不满。
87%的护士强调，有心理健康问题的年轻人应由心理健康护士在单独的青少年病房进行护理。针对有心理健康问题的年轻人的护理进一步发展提出了建议。
