University of Leeds, Leeds, UK.
J Adv Nurs. 2021 Apr;77(4):2002-2011. doi: 10.1111/jan.14797. Epub 2021 Feb 17.
The study examined concurrent mental and physical healthcare received by patients diagnosed with a personality disorder on acute general hospital wards. The specific objectives were (i) to conduct a web based cross sectional survey and (ii) to explore experiences and perspectives with a subsection of the survey sample, using telephone interviews.
A convergent parallel mixed methods design, which comprised a web-based cross sectional survey (n = 65) with embedded qualitative telephone interviews (n = 12). Participants were social media users, with a self-reported diagnosis of personality disorder, admitted to an acute general hospital in the UK in the previous 2 years.
Participants were recruited on social media between May 2017 and August 2017 by snowballing. Mixed data were integrated at the stage of analysis using a framework approach. Findings are reported thematically.
Most of the participants surveyed (94%, n = 61) reported distress during admission to the acute general hospital. However, the findings indicated the hospital environment was not conducive to mental health. Four interrelated themes were identified and related to: patient distress; the workforce; service delivery; and service design.
Findings indicated that patients with a personality disorder diagnosis received disadvantaged healthcare, might be at considerable risk of treatment noncompletion, and were languishing in the gaps between mental and physical health services.
This is one of the first studies to collect primary data on the concurrent mental and physical healthcare received by patients diagnosed with a personality disorder on acute general hospital wards. Ad hoc training and education focused on raising awareness of 'personality disorder' would not seem sufficient to address the deficits. This research may be of interest to people who use mental health services, acute general hospital and liaison clinicians, hospital managers and researchers.
本研究考察了在急性综合医院病房被诊断患有人格障碍的患者同时接受的精神和身体保健。具体目标是（i）进行基于网络的横断面调查，（ii）使用电话访谈探索调查样本的一部分的经验和观点。
一种收敛平行混合方法设计，包括基于网络的横断面调查（n=65）和嵌入式定性电话访谈（n=12）。参与者是社交媒体用户，自我报告在过去 2 年内曾在英国急性综合医院住院诊断为人格障碍。
2017 年 5 月至 8 月，通过滚雪球的方式在社交媒体上招募参与者。使用框架方法在分析阶段整合混合数据。研究结果以主题形式报告。
接受调查的大多数参与者（94%，n=61）报告在急性综合医院住院期间感到痛苦。然而，研究结果表明医院环境不利于心理健康。确定了四个相互关联的主题，涉及：患者痛苦；劳动力；服务提供；和服务设计。
研究结果表明，被诊断患有人格障碍的患者接受的医疗保健不利，可能面临相当大的治疗不完成风险，并且在精神和身体健康服务之间的差距中苦苦挣扎。
这是第一项收集有关在急性综合医院病房被诊断患有人格障碍的患者同时接受的精神和身体保健的主要数据的研究之一。针对“人格障碍”提高认识的临时培训和教育似乎不足以解决这些缺陷。这项研究可能会引起使用心理健康服务、急性综合医院和联络临床医生、医院管理人员和研究人员的兴趣。
