由患有精神病性疾病的人讲述：急性精神科病房中精神卫生保健情况的访谈研究
Confirming mental health care in acute psychiatric wards, as narrated by persons experiencing psychotic illness: an interview study.
作者信息
Sebergsen Karina, Norberg Astrid, Talseth Anne-Grethe
机构信息
Department of Health and Care Sciences, Faculty of Health Sciences, UiT The Arctic University of Norway, N-9037 Tromsø, Norway ; Division of Mental Health and Substance Abuse, University Hospital of North Norway, Mailbox 6124, N-9291 Tromsø, Norway.
Department of Nursing, Umeå University, SE-90187 Umeå, Sweden ; Palliative Research Center, Ersta Sköndal University College, SE-10061 Stockholm, Sweden.
出版信息
BMC Nurs. 2016 Jan 13;15:3. doi: 10.1186/s12912-016-0126-x. eCollection 2016.
BACKGROUND
It is important that mental health nurses meet the safety, security and care needs of persons suffering from psychotic illness to enhance these persons' likelihood of feeling better during their time in acute psychiatric wards. Certain persons in care describe nurses' mental health care as positive, whereas others report negative experiences and express a desire for improvements. There is limited research on how persons with psychotic illness experience nurses' mental health care acts and how such acts help these persons feel better. Therefore, the aim of this study was to explore, describe and understand how the mental health nurses in acute psychiatric wards provide care that helps persons who experienced psychotic illness to feel better, as narrated by these persons.
METHOD
This study had a qualitative design; 12 persons participated in qualitative interviews. The interviews were transcribed, content analysed and interpreted using Martin Buber's concept of confirmation.
RESULTS
The results of this study show three categories of confirming mental health care that describe what helped the participants to feel better step-by-step: first, being confirmed as a person experiencing psychotic illness in need of endurance; second, being confirmed as a person experiencing psychotic illness in need of decreased psychotic symptoms; and third, being confirmed as a person experiencing psychotic illness in need of support in daily life. The underlying meaning of the categories and of subcategories were interpreted and formulated as the theme; confirming mental health care to persons experiencing psychotic illness.
CONCLUSION
Confirming mental health care acts seem to help persons to feel better in a step-wise manner during psychotic illness. Nurses' openness and sensitivity to the changing care needs of persons who suffer from psychotic illness create moments of confirmation within caring acts that concretely help the persons to feel better and that may enhance their health. The results show the importance of taking the experiential knowledge of persons who have experienced psychotic illness seriously to develop and increase the quality of mental health care in acute psychiatric wards.
背景
心理健康护士满足患有精神病性疾病患者的安全、保障和护理需求，对于提高这些患者在急性精神科病房期间病情好转的可能性至关重要。一些接受护理的患者将护士的心理健康护理描述为积极的，而另一些患者则报告了负面经历并表达了改进的愿望。关于患有精神病性疾病的患者如何体验护士的心理健康护理行为以及这些行为如何帮助他们感觉更好的研究有限。因此，本研究的目的是探索、描述和理解急性精神科病房的心理健康护士如何提供护理，以帮助患有精神病性疾病的患者感觉更好，这是这些患者所讲述的。
方法
本研究采用定性设计；12人参与了定性访谈。访谈内容进行了转录、内容分析，并运用马丁·布伯的确认概念进行了解释。
结果
本研究结果显示了三类确认性心理健康护理，描述了逐步帮助参与者感觉更好的因素：第一，被确认为患有精神病性疾病且需要忍耐的人；第二，被确认为患有精神病性疾病且需要减轻精神病性症状的人；第三，被确认为患有精神病性疾病且在日常生活中需要支持的人。对这些类别和子类别背后的含义进行了解释，并提炼为主题：对患有精神病性疾病的人进行确认性心理健康护理。
结论
确认性心理健康护理行为似乎有助于患有精神病性疾病的人在患病期间逐步感觉更好。护士对患有精神病性疾病患者不断变化的护理需求的开放性和敏感性，在护理行为中创造了确认时刻，切实帮助患者感觉更好，并可能促进他们的健康。结果表明，认真对待患有精神病性疾病患者的经验性知识对于提高急性精神科病房心理健康护理的质量非常重要。
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