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支持应激相关障碍患者康复:瑞典初级卫生保健中卫生保健专业人员的反思性生活世界研究。

Supporting recovery in persons with stress-related disorders: A reflective life world research study of health care professionals in primary health care in Sweden.

机构信息

Department of Health and Caring Sciences, Faculty of Health and Life sciences, Linnaeus University, Växjö, Sweden.

Department of Research, Region Kalmar County, Sweden.

出版信息

Int J Qual Stud Health Well-being. 2023 Dec;18(1):2209967. doi: 10.1080/17482631.2023.2209967.

Abstract

PURPOSE

The study aimed to describe primary health care professionals lived experiences of supporting recovery in persons with stress-related disorders.

METHODS

This study was based on a phenomenological approach known as reflective lifeworld research (RLR). Seventeen health care professionals working in primary health care were included in the study. Lifeworld interviews were conducted to collect data. The data were analysed in accordance with the phenomenological RLR principles of openness, flexibility and bridling.

RESULTS

Health care professionals experienced supporting recovery as a complex process with a need for a tailored approach, regardless of profession. In an alliance, the health care professionals encounter the persons where they are based on their own narratives about their life situation. In an interpersonal platform, the health care professionals use a lingering and flexible approach. Support is provided by encouraging existential reflection and learning as well as guiding the person to consider their own needs. This supports the person's quest for a sustainable recovery process in his/her life situation.

CONCLUSIONS

We conclude that supporting recovery requires a genuinely person-centred care in which elements of existential care are crucial. Primary health care for persons with stress-related disorders could benefit from the development of additional research and models for such an approach.

摘要

目的

本研究旨在描述基层医疗保健专业人员在支持与压力相关障碍患者康复方面的体验。

方法

本研究基于一种被称为反思生活世界研究(RLR)的现象学方法。研究纳入了 17 名在基层医疗保健机构工作的医疗保健专业人员。采用生活世界访谈收集数据。根据现象学 RLR 的开放性、灵活性和控制原则对数据进行分析。

结果

医疗保健专业人员将支持康复体验为一个复杂的过程,需要量身定制的方法,而不论其专业如何。在联盟中,医疗保健专业人员根据患者自己对生活状况的叙述,在他们所在的地方遇到他们。在人际平台上,医疗保健专业人员采用持久而灵活的方法。通过鼓励存在反思和学习,并指导患者考虑自己的需求来提供支持。这支持了患者在其生活状况下寻求可持续康复过程的努力。

结论

我们的结论是,支持康复需要真正以患者为中心的护理,其中存在关怀的元素至关重要。针对与压力相关障碍患者的基层医疗保健可以从进一步研究和这种方法的模型开发中受益。

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