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精神卫生保健中提供身体健康护理的障碍和可能的解决方案:丹麦主要知情人观点的定性研究。

Barriers and Possible Solutions to Providing Physical Health Care in Mental Health Care: A Qualitative Study of Danish Key Informants' Perspectives.

机构信息

Clinic for Internal and Emergency Medicine, Aalborg University Hospital, Aalborg, Denmark.

Clinical Nursing Research Unit, Aalborg University Hospital, Aalborg, Denmark.

出版信息

Issues Ment Health Nurs. 2021 May;42(5):463-472. doi: 10.1080/01612840.2020.1823537. Epub 2020 Sep 29.

Abstract

Provision of physical health care to people diagnosed with severe mental illness is widely reported as inadequate. This interview study explored perspectives of a group of key informants on current practices of providing physical health care within two mental health care settings in Denmark. Thematic analysis of their accounts provided insights into 1) barriers to the provision of physical health care in mental health settings, and 2) possible solutions to overcome existing barriers. Negative attitudes and limited specialist health care knowledge among mental health care professionals constituted serious barriers. To effectively address these barriers, mental health services need to be reoriented towards the prioritisation of physical health alongside mental health. This will require equipping mental health professionals with relevant knowledge and skills and organisational resources, to effectively work with people experiencing or at risk of physical comorbidities.

摘要

为被诊断患有严重精神疾病的人提供身体健康护理被广泛报道为不足。这项访谈研究探讨了一组主要知情人对丹麦两个精神卫生保健机构当前提供身体健康护理实践的看法。对他们的描述进行主题分析,深入了解了 1)在精神卫生保健机构中提供身体健康护理的障碍,以及 2)克服现有障碍的可能解决方案。精神卫生保健专业人员的消极态度和有限的专业医疗保健知识构成了严重的障碍。为了有效解决这些障碍,精神卫生服务需要重新调整方向,将身体健康与精神健康同等优先重视。这将需要为精神卫生保健专业人员配备相关知识和技能以及组织资源,以便有效地为患有或有患身体合并症风险的人提供服务。

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