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移民患者的精神科护理体验:一项聚焦民族志研究。

Psychiatric nursing care experiences of immigrant patients: A Focused ethnographic study.

机构信息

Hospital District of Helsinki and Uusimaa, Helsinki, Finland.

Kuopio University Hospital, Kuopio, Finland.

出版信息

Int J Ment Health Nurs. 2019 Feb;28(1):117-127. doi: 10.1111/inm.12500. Epub 2018 Jun 8.

Abstract

This study aimed to describe the psychiatric nursing care experiences of immigrant patients. The incidence of mental health problems is higher and the use of mental health services is lower among immigrants, especially refugees, compared with the majority of the population. The study uses a qualitative research approach, with an emphasis on focused ethnography research methods. The participants were immigrant patients (N = 14) residing in adult psychiatric wards of certain hospitals (N = 3) selected for the study. A majority of the participants were refugees or asylum seekers. A total of 21 in-depth interviews were conducted. The experiences of these immigrant patients, both in their home countries and in their country of residence, had had an adverse effect on their mental health, with past traumatic experiences being the most central factor. Their symptoms included depression, anxiety, somatization, and psychosis. The findings show that the categories of factors that helped promote recovery among immigrant patients were nursing, medical treatment, care environment, and the patients' own methods. Based on the findings, a systematic evaluation of traumatic experiences is recommended for immigrants from countries with a history of war and/or political violence. Healthcare providers should also consider the importance of cultural desire in psychiatric nursing for the recovery of patients.

摘要

本研究旨在描述移民患者的精神科护理体验。与大多数人群相比,移民,尤其是难民,心理健康问题的发生率更高,而对心理健康服务的利用率则更低。本研究采用定性研究方法,重点采用聚焦民族志研究方法。研究对象为(N=14)居住在某些医院成人精神科病房的移民患者(N=3)。大多数参与者是难民或寻求庇护者。共进行了 21 次深入访谈。这些移民患者在其原籍国和居住国的经历对他们的心理健康产生了不利影响,过去的创伤经历是最核心的因素。他们的症状包括抑郁、焦虑、躯体化和精神病。研究结果表明,有助于促进移民患者康复的因素类别包括护理、医疗、护理环境以及患者自身的方法。基于这些发现,建议对来自有战争和/或政治暴力历史的国家的移民进行创伤经历的系统评估。医疗保健提供者还应考虑文化需求在精神科护理中的重要性,以促进患者康复。

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