Dehbozorgi Raziye, Fereidooni-Moghadam Malek, Shahriari Mohsen, Moghimi-Sarani Ebrahim
School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Community Based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
J Educ Health Promot. 2024 Jan 22;12:424. doi: 10.4103/jehp.jehp_1292_22. eCollection 2023.
Chronic mental illnesses have long periods, are recurring, and require continuous care as well as an integrated and collaborative approach to organize the care. The purpose of this article is to summarize the most important steps necessary for adapting a clinical practice guideline for family-centered collaborative care of patients with chronic mental illnesses referring to the medical centers.
As the study will be an exploratory mixed methods study, the design will be carried out as a sequential qualitative-quantitative study (QUAL quan), consisting of 3 phases, 9 modules, and 24 sequential steps, which is based on the Guidelines International Network to adapt the guideline manual. In the first phase, the prerequisites for adaptation of the clinical guideline were established. In the second phase, to collect evidence, a qualitative study (semi-structured interview) will be conducted to explore the dimensions and components of the care needs of patients with chronic mental disorders and their families from the perspectives of patients, caregivers, and healthcare providers. Additionally, a literature review to extract relevant clinical guidelines and articles will be done. A panel of experts will screen and evaluate potential clinical guidelines, and a draft guideline will be developed.
It is expected that these findings will meet the needs of patients with mental illness and their caregivers by providing integrated care and improving collaborative care within the sociocultural context of Iran.
慢性精神疾病病程漫长、易复发，需要持续护理以及采用综合协作的方法来组织护理。本文旨在总结参考医疗中心对慢性精神疾病患者进行以家庭为中心的协作护理临床实践指南时所需的最重要步骤。
由于该研究将是一项探索性混合方法研究，设计将作为顺序性定性-定量研究（QUAL quan）进行，包括3个阶段、9个模块和24个顺序步骤，这是基于国际指南网络来改编指南手册的。在第一阶段，确定改编临床指南的先决条件。在第二阶段，为收集证据，将进行定性研究（半结构化访谈），从患者、护理人员和医疗服务提供者的角度探索慢性精神障碍患者及其家庭护理需求的维度和组成部分。此外，将进行文献综述以提取相关临床指南和文章。一个专家小组将筛选和评估潜在的临床指南，并制定指南草案。
预计这些研究结果将通过在伊朗的社会文化背景下提供综合护理并改善协作护理来满足精神疾病患者及其护理人员的需求。
