Chi Mei-Ting, Long Ann, Jeang Shiow-Rong, Ku Yan-Chiou, Lu Ti, Sun Fan-Ko
Department of Nursing, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
J Clin Nurs. 2014 Jun;23(11-12):1751-9. doi: 10.1111/jocn.12328. Epub 2013 Nov 20.
To explore the healing and recovery process following a suicide attempt over 12 months ago.
Literature has explored the process leading up to attempted suicide. However, there is a lack of information exploring the healing and recovery process after a suicide attempt.
Qualitative research using the grounded theory approach.
Data were collected during 2010-2011 from the psychiatric outpatient's centre in Taiwan. Interviews were conducted with people who had attempted suicide more than 12 months prior to data collection and had not reattempted since that time (n = 14). Constant comparison analysis was used to scrutinise the data.
Findings demonstrated that healing and recovering evolved in five phases: (1) self-awareness: gained self-awareness of their responsibilities in life and their fear of death; (2) the inter-relatedness of life: awareness of the need to seek help from professionals, friends and family for support; (3) the cyclical nature of human emotions: reappearance of stressors and activators causing psyche disharmony; (4) adjustment: changes in adjustment patterns of behaviour, discovering and owning one's own unique emotions, deflecting attention from stressors and facing reality and (5) acceptance: accepting the reality of life and investing in life.
The healing and recovery process symbolises an emotional navigation wheel. While each phase might follow the preceding phase, it is not a linear process, and patients might move backwards and forwards through the phases depending on the nursing interventions they receive coupled with their motivation to heal. It is important for nurses to use advanced communication skills to enable them to co-travel therapeutically with patients.
Listening to patients' voices and analysing their healing and recovery process could serve as a reference for psychiatric nurses to use to inform therapeutic interventions.
探讨12个月前自杀未遂后的愈合与康复过程。
文献已对自杀未遂前的过程进行了探讨。然而，缺乏有关自杀未遂后愈合与康复过程的信息。
采用扎根理论方法的定性研究。
2010年至2011年期间从台湾精神科门诊中心收集数据。对在数据收集前12个月以上有过自杀未遂且此后未再次自杀的人员进行访谈（n = 14）。采用持续比较分析法对数据进行审查。
研究结果表明，愈合与康复过程经历五个阶段：（1）自我意识：对自己在生活中的责任以及对死亡的恐惧有了自我意识；（2）生活的相互关联性：意识到需要向专业人员、朋友和家人寻求支持；（3）人类情绪的周期性：导致心理失调的压力源和激发因素再次出现；（4）调整：行为调整模式发生变化，发现并接受自己独特的情绪，将注意力从压力源上转移并面对现实；（5）接纳：接受生活现实并投入生活。
愈合与康复过程象征着一个情绪导航轮。虽然每个阶段可能依次相随，但这并非一个线性过程，患者可能会根据所接受的护理干预以及他们的康复动机在各阶段之间来回变动。护士运用先进的沟通技巧以便能够与患者进行治疗性同行十分重要。
倾听患者的声音并分析他们的愈合与康复过程可为精神科护士提供参考，以指导治疗干预。
