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一种自我毁灭的照料:经历强制措施者的自我报告及其对替代措施的建议。

A self-destructive care: self-reports of people who experienced coercive measures and their suggestions for alternatives.

作者信息

Ejneborn Looi Git-Marie, Engström Åsa, Sävenstedt Stefan

机构信息

Department of Health Sciences, Luleå University of Technology , Luleå , Sweden.

出版信息

Issues Ment Health Nurs. 2015 Feb;36(2):96-103. doi: 10.3109/01612840.2014.951134.

DOI:10.3109/01612840.2014.951134
PMID:25625709
Abstract

Coercive measures are commonly used as a method of intervention, despite insufficient evidence for their effectiveness and benefits. The aim of this study was to describe how people who self-harm perceive alternatives to coercive measures in relation to actual experiences of psychiatric care. A total of 19 self-reports have been analysed with qualitative content analysis, resulting in three categories: a wish for understanding instead of neglect; a wish for mutual relation instead of distrust; a wish for professionalism instead of a counterproductive care. In conclusion, if the caregivers can understand and collaborate with the patient, there is seldom any need for coercive measures.

摘要

强制手段通常被用作一种干预方法,尽管其有效性和益处的证据并不充分。本研究的目的是描述自伤行为者如何根据实际的精神科护理经历看待替代强制手段的方法。通过定性内容分析法对总共19份自我报告进行了分析,结果产生了三个类别:希望得到理解而非忽视;希望建立相互关系而非不信任;希望获得专业精神而非适得其反的护理。总之,如果护理人员能够理解患者并与患者合作,那么很少有必要采取强制手段。

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