Aekwarangkoon Saifon, Noonil Naiyana
School of Nursing, Walailak University, Thai Buri, Thailand.
Int J Soc Psychiatry. 2022 Jun;68(4):860-865. doi: 10.1177/00207640211008931. Epub 2021 Apr 10.
Psychiatric problems have been a growing and significant public health challenge. Community-based psychiatric services have been shown to contribute to the improvement of health and social-related outcomes, but with limited specialists in this field. Consequently, Thailand has integrated these services into the primary care system delivered by community nurses working in primary care units (PCUs).
To describe the experiences of psychiatric patients in receiving services provided by non-specialist community nurses.
A phenomenological approach was used. Eleven psychiatric patients with 10 major depressive disorders and 1 with schizophrenia were interviewed. The results were evaluated using thematic content analysis.
The results revealed two main themes as barriers and facilitators experienced in receiving services from community nurses.
Community-based services should be concerned about developing psychiatric nursing competency for community nurses to extend basic services to patients in communities and to assist family members.
精神问题一直是一个日益严重且重大的公共卫生挑战。基于社区的精神科服务已被证明有助于改善健康和社会相关结果,但该领域的专家有限。因此,泰国已将这些服务纳入由基层医疗单位(PCU)的社区护士提供的初级保健系统。
描述精神科患者接受非专科社区护士提供服务的经历。
采用现象学方法。对11名患有10例重度抑郁症和1例精神分裂症的精神科患者进行了访谈。结果采用主题内容分析法进行评估。
结果揭示了接受社区护士服务时遇到的两个主要主题,即障碍和促进因素。
基于社区的服务应关注培养社区护士的精神科护理能力,以便将基本服务扩展到社区患者并协助家庭成员。