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叙利亚难民在接受心理健康服务和精神科护理方面的体验:一项定性研究。

Syrian refugees' experiences while receiving mental health services and psychiatric nursing care: A qualitative study.

机构信息

Department of Nursing, Faculty of Health Sciences, Fenerbahce University, Istanbul, Turkey.

Turkish Red Crescent Community Centre, Şanlıurfa, Turkey.

出版信息

J Adv Nurs. 2024 Apr;80(4):1511-1522. doi: 10.1111/jan.15894. Epub 2023 Oct 17.

DOI:10.1111/jan.15894
PMID:37849232
Abstract

AIM

This study examined the experiences of Syrian refugees in a community centre in Turkiye as they access mental health services and receive psychiatric nursing care.

DESIGN

A qualitative design was adopted in the study.

METHODS

Data were collected from southern Turkiye between November and December 2021. The researchers conducted three semi-structured focus group interviews. Colaizzi's phenomenological method was followed to analyse the qualitative data. A total of 19 Syrian refugees participated in the focus group interviews.

RESULTS

Three key themes related to immigrants' experiences of receiving mental health services and nursing care were identified: barriers to receiving mental health services, coping with negative experiences in Turkiye and satisfaction with mental health services. The participants identified the barriers they experienced while receiving health services as those pertaining to language, discrimination and stigmatization. They also mentioned the methods of coping with these negative experiences in Turkiye. Despite their negative experiences, they expressed satisfaction with the mental health services they received, especially psychiatric nursing care.

CONCLUSIONS

This study determined that Syrian refugees face barriers in accessing and receiving mental health services. They stated that mental health professionals in Turkiye approach them with empathy, particularly those in psychiatric nursing. Healthcare professionals may be trained in culturally sensitive care to increase awareness.

IMPACT

Studies have frequently examined the experiences of nurses providing care to refugees, but few have focused on evaluating nursing care from the perspective of refugees. Syrian refugees have reported various obstacles in accessing and receiving mental healthcare services. Health professionals, especially psychiatric nurses in mental health psychosocial support centres, must facilitate the processes to eliminate these obstacles.

REPORTING METHOD

The consolidated criteria for reporting qualitative research (COREQ) were used.

PATIENT OR PUBLIC CONTRIBUTION

No patient or public involvement.

摘要

目的

本研究旨在探讨叙利亚难民在土耳其的一个社区中心获得心理健康服务和接受精神科护理时的体验。

设计

本研究采用定性设计。

方法

数据收集于 2021 年 11 月至 12 月在土耳其南部进行。研究人员进行了三次半结构式焦点小组访谈。采用科莱兹的现象学方法对定性数据进行分析。共有 19 名叙利亚难民参加了焦点小组访谈。

结果

确定了与移民接受心理健康服务和护理体验相关的三个关键主题:接受心理健康服务的障碍、应对在土耳其的负面经历和对心理健康服务的满意度。参与者确定了他们在接受健康服务时遇到的障碍,包括语言障碍、歧视和污名化。他们还提到了应对在土耳其这些负面经历的方法。尽管经历了负面体验,他们对所接受的心理健康服务表示满意,特别是精神科护理。

结论

本研究确定了叙利亚难民在获得和接受心理健康服务方面面临障碍。他们表示,土耳其的心理健康专业人员以同理心对待他们,特别是那些从事精神科护理的人员。可以对医疗保健专业人员进行文化敏感性护理方面的培训,以提高认识。

影响

研究经常检查护士为难民提供护理的体验,但很少从难民的角度评估护理。叙利亚难民在获得和接受心理健康医疗服务方面报告了各种障碍。心理健康专业人员,特别是心理健康社会心理支持中心的精神科护士,必须促进消除这些障碍的进程。

报告方法

使用了定性研究报告的统一标准(COREQ)。

患者或公众参与

无患者或公众参与。

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