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首发精神疾病个体康复需求:焦点小组讨论的定性描述性分析。

Needs of Individuals Recovering from a First-Episode of Mental Illness: A Qualitative Descriptive Analysis of Focus Group Discussions.

机构信息

School of Nursing and Midwifery, University of South Australia , Adelaide , South Australia , Australia.

Youth Mental Health Service, Southern Adelaide Local Health Network , Oaklands Park , South Australia , Australia.

出版信息

Issues Ment Health Nurs. 2019 Sep;40(9):737-746. doi: 10.1080/01612840.2019.1609637. Epub 2019 Jun 26.

DOI:10.1080/01612840.2019.1609637
PMID:31241376
Abstract

A broad array of needs often arise for individuals when significant physical or mental illness occurs. The aim of this study was to investigate the needs experienced by individuals recovering from a first-episode of mental illness, to explore how these needs have been assessed and to gauge the acceptability of participating in formal, systematic needs assessments in the future. Fifteen individuals who had presented to a tertiary mental health service within the previous 3 years, and who were considered to be recovering from a first-episode of mental illness discussed their current and previous needs in small focus groups. A qualitative descriptive methodology was adopted to analyse data. Three themes incorporating the broad range of inter-related and often complex needs were identified as being: the need for safety, stability and security; the need to be understood and to understand and; the need for support networks and services. Participants reported a lack of involvement in discussions with mental health clinicians regarding their needs, and were in favour of participating in formal, systematic needs assessments in the future.

摘要

当发生重大身体或精神疾病时,个人通常会产生广泛的需求。本研究旨在调查从首次精神疾病发作中康复的个人所经历的需求,探讨如何评估这些需求,并评估未来参与正式、系统的需求评估的可接受性。15 名在过去 3 年内曾向三级精神卫生服务机构就诊、且被认为从首次精神疾病发作中康复的个人在小型焦点小组中讨论了他们当前和以前的需求。采用定性描述方法对数据进行分析。确定了三个主题,这些主题包含了广泛的相互关联且常常复杂的需求:安全、稳定和保障的需求;被理解和理解的需求;支持网络和服务的需求。参与者报告说,他们没有参与与心理健康临床医生讨论他们的需求,并且赞成未来参与正式、系统的需求评估。

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Front Psychol. 2021 Oct 14;12:723952. doi: 10.3389/fpsyg.2021.723952. eCollection 2021.
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Introducing the Needs in Recovery Assessment (NiRA) into clinical practice: protocol for a pilot study investigating the formal and systematic assessment of clinical and social needs experienced by service users at a tertiary, metropolitan mental health service.将康复需求评估(NiRA)引入临床实践:一项试点研究的方案,该研究旨在对三级都市精神卫生服务机构中服务使用者所经历的临床和社会需求进行正式且系统的评估。
Pilot Feasibility Stud. 2021 Sep 30;7(1):181. doi: 10.1186/s40814-021-00919-8.