父母和医务人员在中国综合医院经历有自杀相关行为的青少年：定性研究。
Parents' and medical staff's experience of adolescents with suicide-related behaviors admitted to a general hospital in China: qualitative study.
机构信息
National Clinical Research Center for Mental Disorders, Department of Psychiatry, and China National Technology Institute on Mental Disorders, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, China.
Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, China.
出版信息
BMC Psychiatry. 2021 Jan 28;21(1):62. doi: 10.1186/s12888-021-03057-w.
BACKGROUND
Currently, there is increasing awareness of suicide-related behaviors. Mental health services are a key location for assisting people with suicide-related behaviors. However, few studies focused on the evaluation and experience of the mental health care system from families and the medical staff's perspective in China. The study aims to explore parents' and the front-line medical staff's experience of an adolescent with suicide-related behaviors admitted to the psychiatry department of a general hospital in China.
DESIGN
Qualitative study was employed in the study. Participants were recruited from a general hospital in China characterized by high levels in the Chinese mental health system.
METHODS
Semi-structured in-depth interviews were conducted exploring their experience and perceptions when an adolescent was admitted to the hospital. The theme analysis method is used for data analysis.
RESULTS
Participants expressed dissatisfaction in the psychiatric department. Other barriers in their work were identified, such as the shortage of staff and difficulties in caring or communicating with patients. Besides, the imperfect treatment system also contributes to the low satisfaction of patients and their families. Two themes and six subthemes were identified: 1) staff perceive patients with SRBs as difficult to engage (feelings of helplessness, the need for compassion, challenges of professional self-efficacy, the recommendations to the health care service); 2) parents not satisfied with the existing hospital services (doubt the hospitalization treatment and the advice to the health care service).
CONCLUSION
This study found that insufficient staffing and lacking of systematic professional treatment models are the major challenges. We suggest increasing the input of mental health resources to expand and train the mental health service team and establish a complete set of a treatment model for SRBs.
背景
目前，人们对自杀相关行为的认识不断提高。精神卫生服务是帮助自杀相关行为者的关键场所。然而，在中国，很少有研究关注从家庭和医务人员的角度评估和体验精神卫生保健系统。本研究旨在探讨父母和一线医务人员在中国综合医院精神科对有自杀相关行为的青少年的体验。
设计
本研究采用定性研究。参与者从中国一家以精神卫生系统水平高为特征的综合医院招募。
方法
采用半结构式深入访谈，探讨他们在青少年入院时的经历和看法。采用主题分析方法进行数据分析。
结果
参与者对精神科表示不满。还确定了他们工作中的其他障碍，例如人员短缺以及照顾或与患者沟通的困难。此外，不完善的治疗系统也导致患者及其家属的满意度降低。确定了两个主题和六个子主题：1）工作人员认为有自杀相关行为的患者难以接触（无助感、同情心的需要、专业自我效能感的挑战、对医疗服务的建议）；2）父母对现有医院服务不满意（对住院治疗和医疗服务建议的怀疑）。
结论
本研究发现，人员不足和缺乏系统的专业治疗模式是主要挑战。我们建议增加精神卫生资源的投入，扩大和培训精神卫生服务团队，并建立一套完整的自杀相关行为治疗模式。
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