从“精神分裂症”中康复：印度尼西亚东部岛屿心理健康护士的观点
Recovery from 'schizophrenia': Perspectives of mental health nurses in the Eastern island of Indonesia.
作者信息
Tasijawa Fandro Armando, Sutini Titin, Maelissa Sinthia Rosanti
机构信息
Faculty of Health, Universitas Kristen Indonesia Maluku, Indonesia.
Department of Mental Health Nursing, Faculty of Nursing, Universitas Padjadjaran, Indonesia.
出版信息
Belitung Nurs J. 2021 Aug 27;7(4):336-345. doi: 10.33546/bnj.1621. eCollection 2021.
BACKGROUND
Recovery is a way of life to make people's lives more meaningful by working and interacting socially in the community. The recovery has become a new vision of mental health services, including in persons with schizophrenia. However, this concept is relatively new and still limited to nurses in developing countries, such as Indonesia. Several studies among nurses related to this topic have been conducted in the Western part of Indonesia. Yet, no studies have been implemented in the Eastern part of Indonesia. Therefore, exploring nurses' perspectives in the Eastern island of Indonesia is necessary to provide a complete understanding of recovery in patients with schizophrenia.
OBJECTIVE
To explore the perspectives of mental health nurses on recovery from schizophrenia.
METHODS
This was a qualitative study using a phenomenological design. The study was conducted from April to May 2020 at community health centers in Maluku, Indonesia. Eight nurses recruited using purposive sampling participated in in-depth interviews. The interviews were audio-recorded, transcribed verbatim, validated, and analyzed based on Colaizzi's method of data analysis.
RESULTS
Five themes were generated, including (i) treat a patient like a brother, (ii) recovery as an unfamiliar term with various meanings, (iii) medication as the primary action but also the main problem, (iv) being recovered if referred to a mental hospital, and (v) ineffective mental health programs.
CONCLUSION
The findings of this study can be used as an input and evaluation for nurse managers to make an effort to uniform the perception among nurses in Indonesia regarding the recovery process in schizophrenia. It is also suggested that community health centers leaders and mental health policymakers prioritize and optimize recovery-oriented mental health programs and services in the Eastern island of Indonesia. Additionally, the findings offer new insight about 'we are brothers' or called 'hidop orang basudara', which is expected to be one motto for nursing care in Indonesia and beyond.
背景
康复是一种生活方式，通过在社区中工作和社交互动，使人们的生活更有意义。康复已成为精神卫生服务的新愿景，包括在精神分裂症患者中。然而，这一概念相对较新，在印度尼西亚等发展中国家，护士对其的了解仍然有限。印度尼西亚西部已经开展了几项与该主题相关的护士研究。然而，印度尼西亚东部尚未开展此类研究。因此，探索印度尼西亚东部岛屿护士的观点对于全面了解精神分裂症患者的康复情况很有必要。
目的
探讨精神科护士对精神分裂症康复的看法。
方法
这是一项采用现象学设计的定性研究。该研究于2020年4月至5月在印度尼西亚马鲁古的社区卫生中心进行。采用目的抽样法招募的8名护士参与了深入访谈。访谈进行了录音，逐字转录，验证，并基于科莱齐的数据分析方法进行分析。
结果
产生了五个主题，包括（i）像对待兄弟一样对待患者，（ii）康复是一个有多种含义的陌生术语，（iii）药物治疗是主要措施但也是主要问题，（iv）转诊至精神病院即视为康复，以及（v）无效的精神卫生项目。
结论
本研究的结果可作为护士管理者的参考和评估依据，以努力统一印度尼西亚护士对精神分裂症康复过程的认知。还建议社区卫生中心领导和精神卫生政策制定者优先考虑并优化印度尼西亚东部岛屿以康复为导向的精神卫生项目和服务。此外，研究结果为“我们是兄弟”或“hidop orang basudara”提供了新的见解，有望成为印度尼西亚及其他地区护理工作的座右铭之一。
Zotero 插件