“与你已有的资源合作”：医疗保健专业人员与同时患有智力残疾和人格障碍诊断的人合作的经验。
'It's working together with what you've got': Healthcare professionals' experiences of working with people with combined intellectual disability and personality disorder diagnoses.
机构信息
Department of Clinical Psychology and Psychological Therapies, Norwich Medical School, University of East Anglia, Norwich, UK.
Adult Community Learning Disability Service, Suffolk, Norfolk and Suffolk NHS Foundation Trust, Lowestoft, UK.
出版信息
J Appl Res Intellect Disabil. 2022 Nov;35(6):1317-1326. doi: 10.1111/jar.13020. Epub 2022 Jun 20.
BACKGROUND
People with intellectual disability often receive diagnoses which may complicate their clinical care. Among these, personality disorder diagnoses are still considered contentious. Little is also known on the perspectives of staff caring for people with intellectual disability who have received a personality disorder diagnosis.
METHODS
Three focus groups were carried out to explore 15 healthcare professionals' subjective experiences of working with people with intellectual disability who also have a recorded additional diagnosis of personality disorder. Data were analysed through thematic analysis.
FINDINGS
Four overarching themes were identified: (a) diagnostic issues and the need for person-centred approaches; (b) challenges and adjustments to working with combined intellectual disability and PD diagnoses; (c) the importance of multidisciplinary team training, support, and cohesion; (d) provision issues and barriers to service access.
CONCLUSIONS
The themes are outlined in depth and a number of implications for clinical management and service improvement are discussed.
背景
智障人士常被诊断出多种疾病，这可能会使他们的临床护理变得复杂。其中，人格障碍的诊断仍然存在争议。对于照顾有智力障碍且被诊断为人格障碍的人的工作人员的观点，我们也知之甚少。
方法
开展了 3 个焦点小组，以探讨 15 名医疗保健专业人员在与既有智力障碍又有记录在案的人格障碍附加诊断的人一起工作时的主观体验。通过主题分析对数据进行了分析。
结果
确定了四个总体主题：（a）诊断问题和对以人为本方法的需求；（b）与同时患有智力障碍和 PD 诊断的人一起工作的挑战和调整；（c）多学科团队培训、支持和凝聚力的重要性；（d）服务提供问题和服务获取障碍。
结论
深入阐述了这些主题，并讨论了对临床管理和服务改进的一些影响。
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