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让家庭参与产后精神病女性的护理和治疗:瑞典精神科医生的经验。

Involving the family in the care and treatment of women with postpartum psychosis: Swedish psychiatrists' experiences.

作者信息

Engqvist I, Nilsson K

机构信息

School of Life Science, University of Skövde, P.O. Box 408, 541 28 Skövde, Sweden ; Department of Psychiatry, Skaraborg Hospitals, 521 85 Falköping, Sweden.

出版信息

Psychiatry J. 2013;2013:897084. doi: 10.1155/2013/897084. Epub 2013 Jan 29.

Abstract

The aim of the study was to describe Swedish psychiatrists' experiences of involving the family in the treatment of women with postpartum psychosis. A qualitative design was used, and semistructured qualitative research interviews were conducted with nine psychiatrists from the south of Sweden. Data were analysed using qualitative content analysis. Four categories were found: the family as a resource, the family as coworkers, preparing the family for the future, and the family as a burden. The result showed that the psychiatrists considered the family to be a resource to which they devoted a great deal of care and effort. It was particularly important to involve the partner, informing about the course of the illness and the steps that need to be taken in the event of a relapse and reducing any guilt feelings. The psychiatrists instilled confidence and hope for a future of health and further child bearing. The family members' limited understanding of the treatment may impede the involvement of the family. Conclusion of the study was that the goal for family involvement was to facilitate the women's care and treatment. Further studies are needed to provide suggestions on how to develop family involvement in the care of women suffering from postpartum psychosis.

摘要

该研究的目的是描述瑞典精神科医生让家庭参与产后精神病女性治疗的经历。采用了定性设计,并对瑞典南部的九名精神科医生进行了半结构化定性研究访谈。使用定性内容分析法对数据进行了分析。发现了四个类别:家庭作为一种资源、家庭作为同事、让家庭为未来做准备以及家庭成为负担。结果表明,精神科医生认为家庭是一种资源,他们为此投入了大量的关怀和努力。让伴侣参与进来尤为重要,告知其疾病的进程以及复发时需要采取的步骤,并减轻任何内疚感。精神科医生为健康和未来生育灌输信心和希望。家庭成员对治疗的有限理解可能会阻碍家庭的参与。该研究的结论是,家庭参与的目标是促进对女性的护理和治疗。需要进一步研究,以就如何发展家庭参与产后精神病女性护理提供建议。

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