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医学生对精神健康康复的认知:一项描述性定性研究。

Medical students' perception towards mental health recovery: a descriptive qualitative study.

机构信息

Susan Wakil School of Nursing and Midwifery, Sydney School of Nursing, Faculty of Medicine and Health, The University of Sydney, Australia.

Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.

出版信息

Med Educ Online. 2022 Dec;27(1):2106610. doi: 10.1080/10872981.2022.2106610.

Abstract

The conceptualisation of recovery in mental healthcare, for which two definitions ('clinical' and 'personal') prevail, remains inconclusive. In most curricula of medical education, undergraduates are taught straightforward concepts of clinical recovery, which result in their perfunctory and rudimentary understanding. A qualitative descriptive approach was adopted to explore medical undergraduates' perceptions of recovery for people with mental health conditions. Participants were recruited from a Singapore-based university through convenience sampling; the required sample size was determined by data saturation. Individual face-to-face interviews were conducted through Zoom, an online conferencing platform using semi-structured questions from March to July 2021. Recordings of the interviews were transcribed verbatim and thematically analysed. The Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist guided the reporting of this study. Seventeen medical students with the majority (fifteen) of them in their fourth year of medical undergraduate education participated in this study. Four themes were identified: the relationship between mental illnesses and well-being; opinions on mental well-being; understanding of mental illnesses; and perceptions of recovery from mental illnesses. The medical undergraduates in this study predominantly conceptualised recovery based on functions, although many also agreed on respecting patients' perspectives in defining it. This aligns with contemporary approaches that emphasise more shared decision-making opportunities and empowering people with mental health conditions. Accordingly, our findings highlighted the need for foundational medical education to incorporate these constructs in their curricula and strategise to provide more meaningful discussions about them.

摘要

在精神卫生保健中,康复的概念(“临床”和“个人”)仍然没有定论。在大多数医学教育课程中,医学生都被教授临床康复的直截了当的概念,这导致他们对其只是敷衍和基本的理解。本研究采用定性描述方法来探讨医学生对精神健康状况人群的康复的看法。通过便利抽样,从新加坡的一所大学招募参与者;通过数据饱和确定所需的样本量。从 2021 年 3 月到 7 月,通过在线会议平台 Zoom 进行了个人面对面访谈,使用半结构化问题。访谈的录音逐字转录,并进行主题分析。本研究报告遵循了定性研究报告的统一标准 (COREQ) 清单。17 名医学生参与了这项研究,其中大多数(15 名)处于医学本科教育的第四年。确定了四个主题:精神疾病与健康的关系;对心理健康的看法;对精神疾病的理解;以及对精神疾病康复的看法。本研究中的医学生主要根据功能来概念化康复,尽管许多人也同意在定义康复时尊重患者的观点。这与强调更多共同决策机会和赋予精神健康状况人群权力的当代方法一致。因此,我们的研究结果强调了基础医学教育在课程中纳入这些概念并制定策略以更有意义地讨论它们的必要性。

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