Department of Psychiatry, The Albert Road Clinic and The University of Melbourne, Melbourne, Victoria, Australia.
The National Centre of Excellence in Youth Mental Health, The University of Melbourne, Melbourne, Victoria, Australia.
J Child Adolesc Psychiatr Nurs. 2020 Aug;33(3):109-124. doi: 10.1111/jcap.12266. Epub 2020 Feb 18.
Adolescent inpatient units have been studied regarding their effectiveness, yet little is known about the experiences of young people who are admitted and their caregivers. It is important to address this gap to understand adolescent inpatient models of care and therapeutic outcomes to maximize the benefit. Our aim was to explore adolescent and caregivers' experiences of an inpatient model of care (MoC) and perceived helpfulness.
A longitudinal prospective qualitative design was utilized. Semistructured interviews were conducted with 16 adolescents and 12 caregivers at T1 (admission), T2 (discharge), and T3 (6 months postdischarge). Data were analysed first thematically and then using trajectory analysis. Themes from the three time-points are presented from the combined perspectives of adolescents and caregivers.
Experiences described followed a recovery narrative consisting of three key phases which included, "waiting for help" (T1), "help arrived" (T2), and having "returned to regular life" (T3). The overarching trajectory theme was a "winding road to recovery."
Findings provide insights into the lived experiences from adolescents who have had an inpatient stay and their caregivers of an adolescent-specific inpatient MoC. These findings can help conceptualize quality adolescent models of care for young people and their families.
尽管已有研究探讨了青少年住院病房的疗效，但对于住院的青少年及其照顾者的体验却知之甚少。为了深入了解青少年住院治疗模式和治疗效果，从而最大限度地发挥其优势，了解这一空白点至关重要。我们的目的是探讨青少年和照顾者对住院治疗模式和感知益处的体验。
采用纵向前瞻性定性设计。在 T1（入院时）、T2（出院时）和 T3（出院后 6 个月）时，对 16 名青少年和 12 名照顾者进行了半结构式访谈。首先对数据进行主题分析，然后使用轨迹分析。从青少年和照顾者的综合角度呈现了来自三个时间点的主题。
描述的体验遵循恢复叙述，包括三个关键阶段，包括“等待帮助”（T1）、“帮助已到”（T2）和“已回归正常生活”（T3）。总体轨迹主题是“曲折的康复之路”。
研究结果深入了解了接受青少年特定住院治疗模式的住院青少年及其照顾者的生活体验。这些发现有助于为年轻人及其家人构思优质的青少年护理模式。
