严重精神疾病患者“随访”日间医院环境需求评估的三角测量研究。
Triangulation study of needs assessment of people with severe mental illness in "follow-up" day hospital settings.
机构信息
Department of Public Health, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
Department of Nursing, Angela Boškin Faculty of Health Care, Jesenice, Slovenia.
出版信息
Nurs Open. 2023 May;10(5):2859-2868. doi: 10.1002/nop2.1527. Epub 2022 Nov 30.
AIM
The aim of research was to assess the needs of patients with severe mental illness (SMI) attending follow-up day hospital (DH) programmes from the patients', relatives' and experts' perspective.
DESIGN
This triangulation research relies on three sources of information and two techniques of data collection.
METHODS
Qualitative research was conducted comprising semi-structured interviews (n = 15) and focus groups (n = 4) in three sequential rounds, triangulating patients', relatives' and experts' views. A content analysis was carried out.
RESULTS
Study reveals a diverse spectrum of needs of SMI patients in follow-up DH programmes. The analysis yielded six themes: optimal daily functioning, work and educational activities, social network inclusion, continuous treatment, support and guidance, long-term care. DH programmes should assess the needs of patients with SMI and be adapted according to the findings. In addition to clinical treatment, requirements for continuous treatment, psychological and social needs, therapeutic relationship in less-restrictive settings should be considered.
目的
本研究旨在从患者、家属和专家的角度评估接受后续日间医院（DH）项目的重度精神疾病（SMI）患者的需求。
设计
这项三角研究依赖于三种信息来源和两种数据收集技术。
方法
采用定性研究，包括三轮半结构化访谈（n=15）和焦点小组（n=4），对患者、家属和专家的观点进行三角分析。进行了内容分析。
结果
研究揭示了 SMI 患者在后续 DH 项目中的多样化需求。分析得出了六个主题：最佳日常功能、工作和教育活动、社会网络包容、持续治疗、支持和指导、长期护理。DH 项目应评估 SMI 患者的需求，并根据研究结果进行调整。除了临床治疗外，还应考虑持续治疗、心理和社会需求、在限制较少的环境中建立治疗关系等要求。
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