中国一家法医精神病院长期住院患者的体验：一项定性研究。
The experience of long-stay patients in a forensic psychiatric hospital in China: a qualitative study.
机构信息
Department of Psychiatry of the Second Xiangya Hospital, Central South University, China National Clinical Research Center on Mental Disorders; China National Technology Institute on Mental Disorders; Hunan Key Laboratory of Psychiatry and Mental Health, Mental Health Institute of Central South University, Changsha, 410011, Hunan, China.
Division of Psychology, Faculty of Health and Life Sciences, De Montfort University, Leicester, UK.
出版信息
BMC Health Serv Res. 2019 Sep 2;19(1):617. doi: 10.1186/s12913-019-4458-6.
BACKGROUND
Long stay in forensic psychiatric hospitals is common in patients who are defined as "not criminally responsible on account of mental disorder". However, little is known about how these patients experience and perceive the long stay within these settings. The aim of this study is to explore the perception and needs of long-stay patients in forensic psychiatric hospitals in China.
METHODS
In-depth semi-structured interviews were conducted with 21 participants who had lived in the forensic psychiatry hospital for more than 8 years. We used thematic analysis strategies to analyse the qualitative data.
RESULTS
Participants' perceptions clustered seven themes: hopelessness, loneliness, worthlessness, low mood, sleep disturbances, lack of freedom, and lack of mental health intervention.
CONCLUSIONS
The views and opinions expressed by long-stay patients showed that psychological distress is prevailing in forensic psychiatric hospitals. Adequate and effective care and mental health interventions are recommended to be tailored for their special needs.
背景
被判定为“因精神障碍而不负刑事责任”的患者在法医精神病院的长期住院很常见。然而，人们对这些患者在这些环境中的长期住院经历和感受知之甚少。本研究旨在探讨中国法医精神病院长期住院患者的感知和需求。
方法
对 21 名在法医精神病院住院超过 8 年的参与者进行了深入的半结构化访谈。我们使用主题分析策略对定性数据进行分析。
结果
参与者的看法集中在七个主题上：绝望、孤独、无价值感、情绪低落、睡眠障碍、缺乏自由和缺乏心理健康干预。
结论
长期住院患者的观点和意见表明，法医精神病院普遍存在心理困扰。建议根据他们的特殊需求提供充分有效的护理和心理健康干预。
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