Thongsalab Jutharat, Yunibhand Jintana, Uthis Penpaktr
Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand.
Belitung Nurs J. 2023 Jun 26;9(3):198-208. doi: 10.33546/bnj.2632. eCollection 2023.
The recovery-oriented service concept has been recognized for its impact on mental health practices and services. As the largest group of mental healthcare providers, mental health nurses are well-positioned to deliver recovery-oriented services but face challenges due to role ambiguity and identity issues. Therefore, clarifying the role and principles of mental health nursing is essential.
This study aimed to identify essential nursing practices for individuals with schizophrenia in recovery-oriented mental health services.
The study utilized a five-step integrative review approach, including problem identification, literature search definition, critical analysis of methodological quality, data analysis, and data presentation.
Multiple databases, such as ScienceDirect and Scopus, as well as online libraries and journals/publishers, including Sage journals, APA PsyNet, SpringerLink, PsychiatryOnline, Taylor & Francis Online, and Wiley Online Library, were searched. The search spanned from the inception of the recovery-oriented services concept in 1993 to 2022.
Content and thematic analysis were employed to analyze and synthesize the findings from the included studies.
Twenty-four articles met the inclusion criteria. Two themes were identified: 1) Direct nursing care, consisting of six sub-themes: therapeutic nurse-patient relationship (TNPR), psychoeducation (PE), coping skill training (CST), cognitive behavioral techniques (CBT), interventions to improve medication adherence (IMA), and social functioning (SF); and 2) Indirect nursing care.
This study highlights the crucial role of nursing and nursing practices in recovery-oriented services. Mental health nurses prioritize person-centered care, therapeutic relationships, and collaboration with peer support workers to enhance treatment effectiveness. In addition, they focus on improving medication adherence, providing coping support, and promoting social capabilities, ultimately improving individuals' quality of life. Aligning actions with recovery-oriented principles, mental health nurses emphasize empowerment and holistic care. Further research in this area will enhance the healthcare system and better support individuals on their recovery journey.
以康复为导向的服务理念因其对心理健康实践和服务的影响而得到认可。作为最大的精神卫生保健提供者群体，心理健康护士具备提供以康复为导向服务的有利条件，但由于角色模糊和身份问题而面临挑战。因此，明确心理健康护理的角色和原则至关重要。
本研究旨在确定以康复为导向的心理健康服务中针对精神分裂症患者的基本护理实践。
该研究采用了五步综合综述方法，包括问题识别、文献检索定义、方法学质量的批判性分析、数据分析和数据呈现。
检索了多个数据库，如ScienceDirect和Scopus，以及在线图书馆和期刊/出版商，包括Sage期刊、APA PsyNet、SpringerLink、PsychiatryOnline、Taylor & Francis Online和Wiley Online Library。检索范围从1993年以康复为导向的服务理念诞生至2022年。
采用内容和主题分析来分析和综合纳入研究的结果。
24篇文章符合纳入标准。确定了两个主题：1）直接护理，包括六个子主题：治疗性护患关系（TNPR）、心理教育（PE）、应对技能培训（CST）、认知行为技术（CBT）、提高药物依从性的干预措施（IMA）和社会功能（SF）；2）间接护理。
本研究强调了护理及护理实践在以康复为导向的服务中的关键作用。心理健康护士将以患者为中心的护理、治疗性人际关系以及与同伴支持工作者的协作作为优先事项，以提高治疗效果。此外，他们专注于提高药物依从性、提供应对支持和促进社会能力，最终改善个体的生活质量。心理健康护士将行动与以康复为导向的原则保持一致，强调赋权和整体护理。该领域的进一步研究将改善医疗保健系统，并更好地支持个体的康复之旅。
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