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“以康复为导向的实践工作是什么?一项系统的文献综述”

"What is the work of Recovery Oriented Practice? A systematic literature review".

作者信息

Chester Polly, Ehrlich Carolyn, Warburton Loretta, Baker David, Kendall Elizabeth, Crompton David

机构信息

Centre of National Research of Disability & Rehabilitation Medicine (CONROD), School of Human Services and Social Work, Griffith University, University Drive, Meadowbrook, Queensland, Australia.

Metro South Mental health and Addiction Service, Logan Hospital, Cnr. Armstrong and Loganlea Road, Meadowbrook, Queensland, Australia.

出版信息

Int J Ment Health Nurs. 2016 Aug;25(4):270-85. doi: 10.1111/inm.12241. Epub 2016 Jul 6.

Abstract

Concepts of personal and social recovery in mental illness are constantly evolving because the journey is fluid and subject to change over time. Dynamic interactions between the complexities of human nature and mental illness create ever-altering landscapes of perplexity. The acknowledged ebb and flow of recovery in the presence of chronic and serious mental illness requires health professionals to provide a flexible suite of care, delivered through skills and methods that are responsive and meaningful to the recipient. We conducted a systematic search for qualitative literature that articulated the work of personally-supportive recovery-oriented practice (ROP) to determine the specific components of recovery-supportive work. Twenty-one articles were identified as meeting the inclusion criteria and were synthesized using a coding framework derived from Normalization Process Theory. We identified three kinds of recovery-supportive work required from health professionals: alleviating stigma, delivering effective recovery-supportive responses in the presence of complex health and social situations and managing challenges associated with the work of ROP. We discuss the resources needed for ROP and the barriers that inhibit health professionals' engagement in this work. By elucidating the work of ROP, we highlighted a disparity between health professionals' aspirations and achievements. These revelations could inform service delivery in order to better support consumer recovery in serious mental illness.

摘要

精神疾病中个人和社会康复的概念在不断演变,因为康复之旅是动态变化的,会随着时间而改变。人性的复杂性与精神疾病之间的动态相互作用,造就了不断变化的困惑局面。在慢性和严重精神疾病的情况下,康复过程中公认的起伏变化要求卫生专业人员提供一套灵活的护理服务,通过对接受者有响应且有意义的技能和方法来实施。我们对定性文献进行了系统检索,这些文献阐述了以个人支持为导向的康复实践(ROP)的工作,以确定康复支持工作的具体组成部分。有21篇文章被确定符合纳入标准,并使用源自规范化过程理论的编码框架进行了综合分析。我们确定了卫生专业人员所需的三种康复支持工作:减轻污名化、在复杂的健康和社会情况下提供有效的康复支持回应,以及应对与ROP工作相关的挑战。我们讨论了ROP所需的资源以及阻碍卫生专业人员参与这项工作的障碍。通过阐明ROP的工作,我们突出了卫生专业人员的期望与成就之间的差距。这些发现可为服务提供提供参考,以便更好地支持严重精神疾病患者的康复。

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