School of Nursing & Midwifery, University of Newcastle, Callaghan, New South Wales, Australia.
Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand.
Int J Ment Health Nurs. 2019 Jun;28(3):712-720. doi: 10.1111/inm.12573. Epub 2019 Jan 23.
Adolescents admitted to acute mental health inpatient units can experience episodes of distress for numerous reasons. Little is known about how they attempt to cope with this distress. This paper explores adolescent experiences of distress in an acute mental health inpatient unit. Fifty hours of non-participant observations were conducted and documented using a critical incident technique (CIT) framework. An interpretive descriptive approach was used to analyse the observation data collected. Nineteen episodes of adolescent distress were observed and five themes emerged, of which two will be explored in this paper: clinical contexts and triggers, and coping or help-seeking actions. The findings of this study will help mental health nurses working on acute adolescent units understand how adolescents attempt to cope with, and seek help for, episodes of distress, and enhance early responses to prevent escalation of distress.
青少年因诸多原因被收入急性心理健康住院病房，可能会经历一段痛苦时期。对于他们如何试图应对这种痛苦，我们知之甚少。本文探讨了青少年在急性心理健康住院病房经历痛苦的情况。进行了 50 小时的非参与式观察，并使用关键事件技术（CIT）框架进行记录。采用解释性描述方法分析收集的观察数据。观察到 19 次青少年痛苦发作，出现了 5 个主题，其中 2 个将在本文中探讨：临床环境和触发因素，以及应对或寻求帮助的行为。本研究的结果将帮助在急性青少年病房工作的精神科护士了解青少年如何试图应对和寻求帮助以缓解痛苦，并增强对早期反应，以防止痛苦加剧。
