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被视为完整的人:精神卫生住院体验的定性研究。

Being recognised as a whole person: A qualitative study of inpatient experience in mental health.

机构信息

a Department of Health and Care Sciences , Western Norway University of Applied Sciences , Førde , Norway.

b Department of Clinical Psychology , University of Bergen , Bergen , Norway.

出版信息

Issues Ment Health Nurs. 2019 Feb;40(2):88-96. doi: 10.1080/01612840.2018.1524532. Epub 2019 Mar 8.

DOI:10.1080/01612840.2018.1524532
PMID:30845858
Abstract

Few studies address the many challenges that are faced by staff and patients in the inpatient mental health context. In particular, there is a lack of research that explores first-hand patient experiences in order to establish what treatment practices best assist patient recovery and what are the barriers to these practices. This qualitative study, which utilises a user-involved research framework, collaborates with a co-researcher patient group throughout the study. Fourteen patients, all of whom had been in inpatient treatment for at least three weeks, were recruited to the study. Study participants were interviewed in-depth in the period September 2016 to March 2017. Data underwent a thematic analysis that was inspired by interpretative phenomenological analysis. A core theme of the findings was the importance of being recognised as a whole person, and the patient-professional relationship was regarded as a fundamental factor in fostering recovery, with two underlying themes: (i) a need to have one's self-identity recognised and supported, and (ii) an experience of ambivalence between needing closeness and distance. This study suggests ways nurses can give priority to interpersonal interactions and relationships with hospitalised patients over task-oriented duties, highlighting the need for nurses to balance patient competing needs for both closeness and distance.

摘要

很少有研究涉及到住院精神卫生环境中工作人员和患者所面临的许多挑战。特别是,缺乏探索第一手患者体验的研究,以确定哪些治疗实践最有助于患者康复,以及这些实践的障碍是什么。这项定性研究采用了用户参与的研究框架,在整个研究过程中与合作的患者群体合作。研究共招募了 14 名患者,他们都接受了至少三周的住院治疗。研究参与者在 2016 年 9 月至 2017 年 3 月期间接受了深入的访谈。数据经过了主题分析,主题分析受到解释现象学分析的启发。研究结果的一个核心主题是被视为完整的人的重要性,患者与专业人员的关系被视为促进康复的一个基本因素,其中有两个潜在主题:(i) 需要认可和支持自己的身份,以及 (ii) 在需要亲近和保持距离之间存在矛盾体验。这项研究提出了护士可以优先考虑与住院患者进行人际互动和建立关系的方法,而不是注重任务导向的职责,这突出了护士需要平衡患者对亲近和保持距离的相互竞争的需求。

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