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协作式护理对心理健康日间医院使用者康复过程的影响:一项混合方法研究方案。

Impact of collaborative nursing care on the recovery process of mental health day hospital users: a mixed-methods study protocol.

机构信息

Department of Public Health, Mental Health and Maternal and Child Health Nursing, Universitat de Barcelona, Barcelona, Catalunya, Spain.

Benito Menni Complex Assistencial en Salut Mental, Sant Boi de Llobregat, Catalunya, Spain.

出版信息

BMJ Open. 2022 Mar 30;12(3):e057969. doi: 10.1136/bmjopen-2021-057969.

DOI:10.1136/bmjopen-2021-057969
PMID:35354640
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8968539/
Abstract

INTRODUCTION

Very few collaborative nursing care interventions have been studied and shown to be effective in the context of the paradigm shift towards recovery in mental health nursing. Understanding the changes produced in the recovery process of people with mental health problems can contribute to the design and implementation of new methodologies to offer effective and person-centred care.

METHODS AND ANALYSIS

This is a mixed-methods study, which is structured in three phases. In phase one (baseline) and phase three (follow-up), quantitative data will be collected from patients at a mental health day hospitals based on a two-armed, parallel-design, non-randomised trial. In phase two, two groups will be established: an intervention group in which the intervention based on collaborative nursing care will be carried out through the codesign and implementation of activities through Participatory Action Research, and a control group in which the usual care dynamics will be continued. All the users of three mental health day hospitals who agree to participate in the study will be studied consecutively until the necessary sample size is reached. The outcomes used to evaluate the impact of the intervention will be the stage of the recovery process, the quality of the therapeutic relationship and the patient's level of positive mental health.

ETHICS AND DISSEMINATION

This study has been approved by the institutional review board of the reference hospital, FIDMAG Hermanas Hospitalarias (PR-2020-10) in July 2020. All participants will be able to voluntarily withdraw from the study at any time. For this reason, users will be given a sheet with all the precise information about the study to be carried out and written consent will be requested. Preliminary and final results will be published in peer-reviewed journals and presented at national and international congresses.

TRIAL REGISTRATION NUMBER

NCT04814576.

摘要

简介

在精神科护理向康复范式转变的背景下,很少有协作护理干预措施得到研究并被证明是有效的。了解精神健康问题患者在康复过程中发生的变化,可以有助于设计和实施新的方法,提供有效和以患者为中心的护理。

方法与分析

这是一项混合方法研究,分为三个阶段。在第一阶段(基线)和第三阶段(随访),将根据一项两臂、平行设计、非随机试验,从精神科日间医院的患者中收集定量数据。在第二阶段,将建立两组:干预组通过共同设计和实施参与式行动研究活动,实施基于协作护理的干预,对照组则继续常规护理动态。所有同意参与研究的三家精神科日间医院的患者将连续进行研究,直到达到必要的样本量。用于评估干预效果的结果将是康复过程的阶段、治疗关系的质量和患者的积极心理健康水平。

伦理与传播

本研究已于 2020 年 7 月获得参考医院 FIDMAG Hermanas Hospitalarias 的机构审查委员会(PR-2020-10)的批准。所有参与者均可在任何时间自愿退出研究。为此,将向用户提供一份包含要进行的研究的所有准确信息的表格,并要求书面同意。初步和最终结果将发表在同行评议的期刊上,并在国内外大会上展示。

试验注册号

NCT04814576。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4404/8968539/933fce355b36/bmjopen-2021-057969f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4404/8968539/933fce355b36/bmjopen-2021-057969f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4404/8968539/933fce355b36/bmjopen-2021-057969f01.jpg

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Positive mental health as a predictor of recovery from mental illness.积极的心理健康是精神疾病康复的预测因素。
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Person-Centered Care and the Therapeutic Alliance.以患者为中心的护理与治疗联盟。
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