Beentjes Titus A A, Goossens Peter J J, Jongerden Irene P
Radboud University Medical Center, Radboud Institute for Health Sciences, IQ healthcare, Nijmegen, the Netherlands.
Saxion University of Applied Science, Faculty of Health, Deventer, the Netherlands.
Perspect Psychiatr Care. 2016 Apr;52(2):131-8. doi: 10.1111/ppc.12109. Epub 2015 Mar 13.
Caregivers often consult community mental health (CMH) nurses when they recognize prodromes of mania in the outpatient. The purpose of this study was to determine nurses' experiences of their therapeutic relationship and nursing interventions to outpatients and caregivers during different stages of mania.
A qualitative study was conducted. Nine nurses were interviewed.
CMH nurses experienced dual loyalty when facing conflicting interests. They strived to stay connected to patients and caregivers with an open and nonjudgmental attitude. In euthymic episodes, nurses anticipated by developing good relationships with both and by making relapse prevention plan.
Early involvement of caregivers in the treatment is recommended.
当照顾者在门诊中识别出躁狂前驱症状时，他们常常会咨询社区心理健康（CMH）护士。本研究的目的是确定护士在躁狂不同阶段对门诊患者及其照顾者的治疗关系和护理干预的经验。
进行了一项定性研究。采访了九名护士。
CMH护士在面对利益冲突时经历了双重忠诚。他们努力以开放和无偏见的态度与患者及照顾者保持联系。在心境正常发作期，护士通过与双方建立良好关系并制定预防复发计划来进行预期。
建议照顾者尽早参与治疗。
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