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参与社区心理健康中心的患者对疾病过程的体验:一项现象学研究。

The Experiences of Patients Enrolled in Community Mental Health Centers Regarding the Illness Process: A Phenomenological Study.

作者信息

Salık Hava, Uslu Ömer, Şahin Merve

机构信息

Faculty of Economics and Administrative Sciences, Department of Health Management, Hakkari University, Hakkari, Turkey.

Söke Fehime Faik Kocagöz Public Hospital, Community Mental Health Center, Aydın, Soke, Turkey.

出版信息

J Psychiatr Ment Health Nurs. 2025 Apr;32(2):288-296. doi: 10.1111/jpm.13111. Epub 2024 Sep 18.

Abstract

AIMS

The aim of this study is to explore in-depth the experiences of patients enrolled in Community Mental Health Centers regarding the illness process.

DESIGN

This study employed interpretative phenomenological analysis (IPA), one of the phenomenological design approaches within qualitative research methods.

METHODS

The study was conducted between 24 May 2023 and 23 December 2023, at two different Community Mental Health Centers located in the eastern and western regions of Turkey. Maximum variation sampling was employed in the selection of the sample, which consisted of 12 patients registered at the Community Mental Health Centers. Data were collected using a semi-structured interview form. The interviews were conducted face-to-face and audio-recorded. Content analysis was performed using the MAXQDA 2022 software package. The study was written following the COREQ checklist.

FINDINGS

Based on the expressions of the patients, themes, subthemes and codes were identified. Accordingly, three themes were determined: 'emotions felt after diagnosis', 'changes in life with the illness process' and 'coping methods with the process'.

CONCLUSION

This study highlights that patients from diverse geographical backgrounds, served by Community Mental Health Centers, share similar cultural and emotional experiences during their illness. These findings underscore the need for tailored interventions that address universal challenges faced by patients across different regions.

CLINICAL EVIDENCE

This research emphasises the necessity of comprehensive efforts to improve societal understanding, support mechanisms and employment prospects for individuals dealing with mental health issues in Community Mental Health Centers.

摘要

目的

本研究旨在深入探索社区心理健康中心患者在疾病过程中的经历。

设计

本研究采用解释现象学分析(IPA),这是定性研究方法中的现象学设计方法之一。

方法

该研究于2023年5月24日至2023年12月23日在土耳其东部和西部的两个不同社区心理健康中心进行。样本选择采用最大差异抽样,样本由12名在社区心理健康中心登记的患者组成。数据通过半结构化访谈表收集。访谈采用面对面方式并进行录音。使用MAXQDA 2022软件包进行内容分析。本研究按照COREQ清单撰写。

结果

根据患者的表述,确定了主题、子主题和编码。据此,确定了三个主题:“诊断后的情绪感受”、“疾病过程中生活的变化”和“应对疾病过程的方法”。

结论

本研究强调,由社区心理健康中心服务的来自不同地理背景的患者在患病期间有着相似的文化和情感经历。这些发现强调了需要采取针对性干预措施,以应对不同地区患者面临的普遍挑战。

临床证据

本研究强调了为提高社会对社区心理健康中心中患有心理健康问题的个人的理解、支持机制和就业前景而进行全面努力的必要性。

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