Faculty of Health Sciences, Department of Nursing and Physiotherapy, Universidad Europea, Valencia, Spain.
Faculty of Nursing and Podiatry, University of Valencia, Spain.
Int J Ment Health Nurs. 2019 Jun;28(3):735-743. doi: 10.1111/inm.12578. Epub 2019 Jan 28.
People with mental illnesses are at a higher risk than the general population of suffering from somatic diseases. However, they receive less attention from healthcare services. Some studies have indicated that this situation can be partially explained by the stigmatizing attitudes of health professionals, including nurses. With the objective to improve future nursing professionals' attitudes towards people with mental illnesses, an intervention involving direct contact with people who had lived experience with mental illnesses was designed and its effectiveness was measured. It consisted of a single 90-min session involving a mental health professional, a person with a mental illness, and a family member of someone with a mental illness. The intervention was based on a structured script where they described their experiences with the illness and their history of recovery, and then, they had a discussion with the attendees. The effectiveness of this approach was measured through a quasi-experimental study with a pretest-post-test design. The differences in the scores obtained in the AQ-27-E questionnaire before and after the intervention indicated that there was a decrease in fear, feelings of danger, avoidance, segregation, and coercive attitudes, while positive feelings increased, including a tendency to help and compassion. These results are important for clinical practice because this intervention could improve the quality of care provided to people with mental illnesses.
患有精神疾病的人比一般人群更容易患上躯体疾病。然而，他们得到的医疗服务关注较少。一些研究表明，这种情况部分可以通过卫生专业人员的污名化态度来解释，包括护士。为了改善未来护理专业人员对精神疾病患者的态度，设计了一项涉及与有精神疾病经历的人直接接触的干预措施，并测量了其效果。它包括一个 90 分钟的单一会议，涉及心理健康专业人员、一个患有精神疾病的人和一个有精神疾病的人的家庭成员。该干预措施基于一个结构化的脚本，他们在脚本中描述了自己的疾病经历和康复史，然后与与会者进行了讨论。通过一项准实验研究，采用前后测设计来衡量这种方法的有效性。AQ-27-E 问卷中干预前后得分的差异表明，恐惧、危险感、回避、隔离和强制态度有所减少，而积极的感觉有所增加，包括帮助和同情的倾向。这些结果对临床实践很重要，因为这种干预可以提高对精神疾病患者的护理质量。
