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日间医院治疗严重精神疾病患者:从使用者的角度看,哪些因素有助于康复,哪些因素阻碍康复?

Day hospital treatment for people with severe mental illness according to users' perspectives: what helps and what hinders recovery?

机构信息

a Proyecto Suma, Community Mental Health Service , Buenos Aires , Argentina.

b Instituto de Farmacología, Facultad de Medicina, Universidad de Buenos Aires , Buenos Aires , Argentina.

出版信息

J Ment Health. 2018 Feb;27(1):52-58. doi: 10.1080/09638237.2016.1276526. Epub 2017 Jan 13.

DOI:10.1080/09638237.2016.1276526
PMID:28084111
Abstract

BACKGROUND

Scarce information is available about how users experience treatment at mental health day hospitals, particularly in South America.

AIMS

To explore users' perspectives about elements of day hospital treatment that facilitate or hinder the recovery process in a mental health facility in Buenos Aires, Argentina.

METHODS

Semi-structured individual interviews (n = 8) and focus groups (n = 4) were carried out with a convenience sample of users of a mental health day hospital program based on a formulation, testing and redevelopment of propositions approach. Results were analyzed through grounded theory techniques.

RESULTS

Categories indicating recovery were: starting to do things, being able to see themselves from a new perspective, mood improvement and changes in interpersonal relationships. Aspects facilitating recovery were: activities organized by the facility, the group approach, the care provided by facility workers and the physical environment. Hindering aspects were: heterogeneity of users in terms of age, severity, diagnosis and being underestimated by staff.

CONCLUSIONS

Being active again was considered to be the main recovery indicator in this cultural context and participating in activities led by skilled facilitators was the most beneficial factor of the program according to the users.

摘要

背景

关于用户在心理健康日间医院的治疗体验,特别是在南美洲,相关信息十分匮乏。

目的

探索阿根廷布宜诺斯艾利斯一家心理健康机构中,用户对促进或阻碍其康复过程的日间医院治疗要素的看法。

方法

采用基于构想、测试和重新开发的方法,对一家心理健康日间医院项目的使用者进行了方便抽样的半结构式个体访谈(n=8)和焦点小组(n=4)。使用扎根理论技术对结果进行分析。

结果

表明康复的类别有:开始做事、能够从新视角看待自己、情绪改善和人际关系变化。促进康复的方面有:机构组织的活动、小组方法、机构工作人员提供的护理以及物理环境。阻碍康复的方面有:用户在年龄、严重程度、诊断方面的异质性以及工作人员的低估。

结论

在这种文化背景下,再次活跃被认为是主要的康复指标,根据使用者的说法,参加由熟练的促进者带领的活动是该项目最有益的因素。

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