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川东北急诊科医护人员照顾自杀未遂患者心理体验的定性研究。

A Qualitative Study on the Psychological Experience of Emergency Department Medical Staff Caring for Patients with Suicide Attempts in Northeastern Sichuan.

出版信息

Arch Suicide Res. 2024 Jan-Mar;28(1):372-383. doi: 10.1080/13811118.2023.2178350. Epub 2023 Feb 17.

Abstract

The purpose of this study was to explore the psychological experiences of emergency department staff in northeastern Sichuan when treating patients with suicide attempts and to provide a theoretical basis for developing appropriate clinical interventions and improving mental health services for suicidal patients. Sixteen emergency department staff members who met recruitment requirements at two hospitals in Nanchong, China, were interviewed using Colizzi descriptive phenomenological analysis. The interviews were in-depth and semi-structured. The qualitative analysis of this study revealed three main themes: (1) aspects of the emotional experience that may be detrimental to helping people in crisis (e.g., sympathy and regret, confusion and bewilderment, worry and stress); (2) aspects of the cognitive experience (e.g., inability to deal with patients' psychological issues and having new perspective on the medical profession); and (3) raising awareness of mental health services. Future reform efforts should consider training medical staff in suicide prevention knowledge and communication skills, using a compassion-centered approach to alleviate the suffering of patients who attempt suicide, using the Safety Screening Scale (PSS-3), providing counselors for patients, developing family-focused interventions, and involving family members in suicide risk prevention and treatment.

摘要

本研究旨在探讨川东北地区急诊科工作人员在处理自杀未遂患者时的心理体验,为制定针对自杀患者的适当临床干预措施和改善心理健康服务提供理论依据。采用 Colizzi 现象描述性分析方法,对中国南充市两家医院符合招募条件的 16 名急诊科工作人员进行访谈。访谈采用深入、半结构化的方式进行。本研究的定性分析揭示了三个主要主题:(1)可能不利于帮助危机中的人的情绪体验方面(如同情和遗憾、困惑和迷茫、担忧和压力);(2)认知体验方面(如无法应对患者的心理问题以及对医疗行业有了新的认识);(3)提高对心理健康服务的认识。未来的改革努力应考虑对医务人员进行预防自杀知识和沟通技巧的培训,采用以同情心为中心的方法来减轻自杀未遂患者的痛苦,使用安全筛查量表(PSS-3),为患者提供咨询,制定以家庭为中心的干预措施,并让家庭成员参与自杀风险的预防和治疗。

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