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年轻人及其患有精神疾病的家庭:在社区心理健康服务环境中评估以家庭为中心的支持性对话的实用性。

Young Adults and Their Families Living With Mental Illness: Evaluation of the Usefulness of Family-Centered Support Conversations in Community Mental Health care Settings.

机构信息

Norwegian University of Science and Technology, Gjøvik, Norway.

Faculty of Medicine and Health, University Health Care Research Center, Örebro University, Sweden.

出版信息

J Fam Nurs. 2020 Nov;26(4):302-314. doi: 10.1177/1074840720964397. Epub 2020 Oct 23.

DOI:10.1177/1074840720964397
PMID:33095093
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7723859/
Abstract

The aim of this study was to evaluate the usefulness of Family-Centered Support Conversations (FCSC) offered in community mental health care in Norway to young adults and their families experiencing mental illness. The FCSC is a family nursing intervention based on the Calgary Family Assessment and Intervention Models and the Illness Beliefs Model and is focused on how family members can be supportive to each other, how to identify strengths and resources of the family, and how to share and reflect on the experiences of everyday life together while living with mental illness. Interviews were conducted with young adults and their family members in Norway who had received the FCSC intervention and were analyzed using phenomenography. Two descriptive categories were identified: "Facilitating the sharing of reflections about everyday life" and "Possibility of change in everyday life." The family nursing conversations about family structure and function in the context of mental illness allowed families to find new meanings and possibilities in everyday life. Health care professionals can play an important role in facilitating a safe environment for young adults and their families to talk openly about the experience of living with and managing mental illness.

摘要

本研究旨在评估挪威社区心理健康护理中提供的以家庭为中心的支持对话(FCSC)对患有精神疾病的年轻成年人及其家庭的实用性。FCSC 是一种基于卡尔加里家庭评估和干预模型以及疾病信念模型的家庭护理干预措施,重点关注家庭成员如何相互支持、如何识别家庭的优势和资源,以及如何在共同生活中分享和反思日常生活经历。对挪威接受 FCSC 干预的年轻成年人及其家庭成员进行了访谈,并使用现象学进行了分析。确定了两个描述性类别:“促进对日常生活的反思的分享”和“日常生活中改变的可能性”。在精神疾病背景下关于家庭结构和功能的家庭护理对话使家庭能够在日常生活中找到新的意义和可能性。医疗保健专业人员可以在为年轻成年人及其家庭创造一个安全的环境方面发挥重要作用,使他们能够就与精神疾病共存和管理的经历进行坦诚的交流。

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