Fuller Sarah J, Tan Jacinta, Nicholls Dasha
Imperial College London, UK.
Northamptonshire Healthcare NHS Foundation Trust, UK.
BJPsych Bull. 2024 Jun;48(3):163-167. doi: 10.1192/bjb.2023.58.
Nasogastric tube feeding under physical restraint is an intervention that clinicians working in specialist mental health in-patient units may need to implement.
To examine the impact of this intervention on people with lived experience, carers and staff.
People with lived experience and parents and/or carers were recruited via UK eating disorder charity Beat. Clinicians were recruited via the British Eating Disorders Society's research forum. Qualitative semi-structured interviews were conducted and transcribed, and the results were thematically analysed.
Thirty-six participants took part, and overlapping themes were identified. All participants spoke in relation to four themes: (a) the short-term impact on the patient; (b) the impact on those around the patient; (c) the long-term impact; and (d) the positive impact. Subthemes were identified and explored.
This lifesaving intervention can also negatively affect patients, parents and carers, peers and staff. Further research is needed to understand how interactions and environmental modifications can mitigate the negative impacts.
在身体约束下进行鼻饲管喂食是专科精神科住院病房的临床医生可能需要实施的一种干预措施。
探讨这种干预措施对有亲身经历者、护理人员和工作人员的影响。
通过英国饮食失调慈善机构“战胜饮食失调”招募有亲身经历者以及父母和/或护理人员。通过英国饮食失调协会的研究论坛招募临床医生。进行定性半结构化访谈并转录，然后对结果进行主题分析。
36名参与者参与其中，确定了一些重叠的主题。所有参与者都围绕四个主题发表了看法：(a) 对患者的短期影响；(b) 对患者周围人的影响；(c) 长期影响；以及 (d) 积极影响。还确定并探讨了子主题。
这种挽救生命的干预措施也可能对患者、父母和护理人员、同龄人及工作人员产生负面影响。需要进一步研究以了解互动和环境调整如何减轻这些负面影响。
