住院精神科治疗后，退伍军人的社区参与和社会联系需求。
Veteran community engagement and social connection needs following inpatient psychiatric hospitalization.
机构信息
U.S. Department of Veterans Affairs (VA).
出版信息
Psychiatr Rehabil J. 2022 Dec;45(4):324-330. doi: 10.1037/prj0000534. Epub 2022 Aug 1.
OBJECTIVE
To understand barriers and facilitators to engaging in community activities for increasing social connectedness among recently psychiatrically hospitalized veterans, a population at elevated risk for suicide.
METHOD
We completed 30 semistructured qualitative interviews with veterans within 1 week of discharge from inpatient psychiatric hospitalization. Our interviews focused on understanding past and current barriers, facilitators, and needs for engaging in community activities after psychiatric hospitalization. Data were analyzed using a modified grounded theory approach.
RESULTS
Veterans shared feeling a lack of belonging and discussed several barriers to community engagement including lack of self-confidence, limited knowledge of opportunities, and negative expectations. Veterans identified several ways to facilitate engagement in community activities such as centralizing information on community activities and providing active support posthospitalization.
CONCLUSIONS AND IMPLICATIONS FOR PRACTICE
Veterans by and large valued community and the role of community activities for increasing social connectedness. However, more active intervention for supporting engagement in community activities appears necessary to facilitate connection posthospitalization. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
目的
了解精神科住院退伍军人在参与社区活动以增加社交联系方面的障碍和促进因素，这些退伍军人自杀风险较高。
方法
我们在精神科住院患者出院后 1 周内完成了 30 名退伍军人的半结构化定性访谈。我们的访谈重点是了解他们在精神科住院后参与社区活动的过去和当前的障碍、促进因素和需求。使用改进的扎根理论方法对数据进行分析。
结果
退伍军人表示感到缺乏归属感，并讨论了参与社区活动的几个障碍，包括缺乏自信、对机会的了解有限以及消极的期望。退伍军人提出了几种促进社区活动参与的方法，例如集中社区活动信息并在出院后提供积极的支持。
结论和对实践的影响
退伍军人普遍重视社区以及社区活动在增加社交联系方面的作用。然而，似乎需要更积极的干预措施来支持他们在出院后参与社区活动。（美国心理协会，2023 年）
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