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在希腊精神卫生系统中,为边缘型人格障碍患者提供护理的护士的无效体验。

Experiences of Futility Among Nurses Providing Care to Patients With Borderline Personality Disorder in the Greek Mental Health System.

出版信息

J Psychosoc Nurs Ment Health Serv. 2022 Jun;60(6):33-42. doi: 10.3928/02793695-20211119-02. Epub 2021 Dec 3.

DOI:10.3928/02793695-20211119-02
PMID:34846225
Abstract

The aim of the current study was to explore mental health nurses' experiences and attitudes toward patients with borderline personality disorder (BPD) in Greece using a qualitative approach. Data were collected through two audio-recorded focus group discussions. Participants were 12 nurses who work in two general hospital psychiatric units and have direct clinical experience with patients with BPD. Audio recordings were transcribed verbatim and analyzed using thematic analysis in the context of grounded theory. One overarching theme and three main themes were identified. The overarching theme, , refers to feelings that the provision of nursing care to patients with BPD is devoid of purpose and meaning. The main themes were: , , and . Of significance are nurses' feelings of frustration and futility creating a sense of being burdened and leading to negative attitudes and behaviors toward patients with BPD. Understanding treatment goals from the recovery model perspective and developing guidelines to help nurses revisit the concept of medical futility may improve care to patients with BPD. [(6), 33-42.].

摘要

本研究旨在采用定性方法探讨希腊精神科护士对边缘型人格障碍(BPD)患者的体验和态度。通过两次录音焦点小组讨论收集数据。参与者为 12 名在两家综合医院精神科病房工作、有与 BPD 患者直接临床接触经验的护士。录音被逐字转录,并在扎根理论的背景下使用主题分析进行分析。确定了一个总体主题和三个主要主题。总体主题为“提供 BPD 患者护理缺乏目的和意义”。主要主题包括:“对 BPD 患者护理的挫折感和无效感”、“感到负担过重导致对 BPD 患者产生消极态度和行为”。从恢复模式的角度理解治疗目标,并制定指南以帮助护士重新审视医疗无效的概念,可能会改善对 BPD 患者的护理。[(6), 33-42.]。

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