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“不要抛弃我”:年轻人在博客中描述的儿童和青少年精神科住院护理支持康复的经历

'Don't abandon me': Young people's experiences of child and adolescent psychiatric inpatient care supporting recovery described in blogs.

作者信息

Wallström Rebecca, Lindgren Eva, Gabrielsson Sebastian

机构信息

Department of Child and Adolescent Psychiatric Care, Bollnäs Hospital, Bollnäs, Sweden.

Department of Health Sciences, Luleå University of Technology, Luleå, Sweden.

出版信息

Int J Ment Health Nurs. 2021 Feb;30(1):117-125. doi: 10.1111/inm.12787. Epub 2020 Oct 23.

Abstract

Child and adolescent psychiatric (CAP) inpatient care has the potential to support or hinder young people's mental-health recovery. Research describing inpatient care from the perspective of young people is rare. Personal blogs provide an opportunity to further understand how inpatient care relates to young people's recovery processes. This study aimed to explore young people's experiences of CAP inpatient care supporting mental-health recovery. The study is reported in accordance with the COREQ guidelines. Data were created during 2018 from twenty-seven personal blogs describing first-hand experiences of being a patient in a CAP inpatient care facility in Sweden and analysed using a method for interpretive description. Information in blogs suggests they were written by women, a majority of which had experienced eating disorders. Findings describe young people's experiences of CAP inpatient care supporting mental-health recovery in an interpretive explanation with one theme, 'Don't abandon me', and three sub-themes: 'Listen to me', 'Believe in me', and 'Allow me to feel safe'. This study adds to the growing body of empirical work suggesting the importance of the concept of recovery in young people's mental health. To support recovery, CAP inpatient care needs to focus on developing the content of care rather than minimizing the length of the stay. User experience should be at the heart of efforts aimed at improving services.

摘要

儿童和青少年精神病学(CAP)住院护理有可能促进或阻碍年轻人的心理健康恢复。从年轻人的角度描述住院护理的研究很少。个人博客提供了一个机会,可进一步了解住院护理与年轻人康复过程之间的关系。本研究旨在探讨年轻人对CAP住院护理支持心理健康恢复的体验。本研究是按照COREQ指南报告的。数据于2018年从27篇个人博客中收集,这些博客描述了在瑞典一家CAP住院护理机构作为患者的第一手经历,并使用一种解释性描述方法进行了分析。博客中的信息表明,这些博客是由女性撰写的,其中大多数人经历过饮食失调。研究结果通过一个主题“不要抛弃我”和三个子主题“倾听我”、“相信我”和“让我感到安全”的解释性说明,描述了年轻人对CAP住院护理支持心理健康恢复的体验。这项研究增加了越来越多的实证研究工作,表明康复概念在年轻人心理健康中的重要性。为了支持康复,CAP住院护理需要专注于发展护理内容,而不是尽量缩短住院时间。用户体验应该是改善服务努力的核心。

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