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病房中的情感生态:精神科住院环境中青少年管理心理健康和困扰的体验。

The ward as emotional ecology: Adolescent experiences of managing mental health and distress in psychiatric inpatient settings.

机构信息

Division of Psychology, London South Bank University, 103 Borough Road, London SE1 OAA, United Kingdom.

Division of Psychology, London South Bank University, 103 Borough Road, London SE1 OAA, United Kingdom.

出版信息

Health Place. 2017 Jul;46:210-218. doi: 10.1016/j.healthplace.2017.05.008. Epub 2017 May 26.

DOI:10.1016/j.healthplace.2017.05.008
PMID:28554098
Abstract

Previous research on young people's satisfaction of inpatient services has often relied on the responses of carers and relevant practitioners. It is difficult to ascertain to what extent such reporting accurately represents the satisfaction levels of young people, with emerging research suggesting wide discrepancies. As part of a wider study evaluating the effectiveness of a Supported Discharge Service (SDS) operating within South London & Maudsley NHS Foundation Trust, this paper examines how young people experience inpatient services, on a social and emotional level. Twenty young people, (10 SDS and 10 TAU) participated in a semi-structured visual-interview study to examine their experiences of admission, ward-life and treatment. A thematic decomposition analysis was conducted on the data and specific themes relevant to satisfaction and engagement with inpatient services was examined in-depth. These include a) Behavioural surveillance as care surrogate and b) Managing the delicate emotional ecology of the ward: openness, triggering, sterility and relational engagements. Finally, we explore some of the implications of these inpatient experiences for supported discharge services.

摘要

以往关于年轻人对住院服务满意度的研究往往依赖于照顾者和相关从业者的反应。很难确定这种报告在多大程度上准确反映了年轻人的满意度水平,新兴研究表明存在很大差异。作为一项评估伦敦南部和莫兹利国民保健信托基金会(South London & Maudsley NHS Foundation Trust)内开展的支持性出院服务(SDS)有效性的更广泛研究的一部分,本文探讨了年轻人在社会和情感层面上如何体验住院服务。20 名年轻人(10 名 SDS 和 10 名 TAU)参加了半结构化视觉访谈研究,以检查他们的入院、病房生活和治疗经历。对数据进行了主题分解分析,并深入研究了与住院服务满意度和参与度相关的具体主题。这些主题包括:a)作为护理代理人的行为监测和 b)管理病房微妙的情感生态:开放性、触发、无菌性和关系参与。最后,我们探讨了这些住院体验对支持性出院服务的一些影响。

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