Department of Forensic Psychiatry, Sahlgrenska University Hospital, Gothenburg, Gunnilse, Sweden.
Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Göteborg, Sweden.
Int J Qual Stud Health Well-being. 2024 Dec;19(1):2418671. doi: 10.1080/17482631.2024.2418671. Epub 2024 Nov 2.
Forensic psychiatric inpatient care in Sweden is characterized by strict regulations and adherence to court-mandated rules, with a median care time of 7 years. Comorbity has significant clinical implications, impacting health and well-being, violent behaviour and criminal recidivism, and prolonging inpatient stays. This study investigated the individual experiences and perspectives of Swedish patients in forensic psychiatric care with substance use (SU) disorders, focusing on past, present and future orientations.
Ten male forensic psychiatric inpatients were individually interviewed following a semi-structured interview guide. A qualitative content analysis was conducted to inductively analyse the participants' experiences. The study adhered to the Standards for Reporting Qualitative Research.
Under the main theme of "embracing harmony in opposition", three categories emerged: (1) unveiling the beginning of SU and its impact on navigating challenges in care, (2) exploring current confined care and gratitude despite unease and (3) yearning for a somewhat normal life.
Participants' subjective perspectives underscored the importance of factors such as forensic nurses/healthcare providers in forensic psychiatry considering the patients' life narratives, their aspirations for the future, their need for a secure environment and patient-staff relationships. These findings highlight the need for structural interventions that emphasize the importance of tailored and comprehensive health plans within rehabilitation.
瑞典的法医精神病住院治疗以严格的规定和遵守法庭命令为特点，平均护理时间为 7 年。合并症具有重要的临床意义，影响健康和幸福感、暴力行为和犯罪再犯，并延长住院时间。本研究调查了瑞典有物质使用（SU）障碍的法医精神病住院患者的个体经历和观点，重点关注过去、现在和未来的方向。
对 10 名男性法医精神病住院患者进行了半结构化访谈指南后的个体访谈。采用定性内容分析法对参与者的经验进行了归纳分析。该研究符合定性研究报告标准。
在“在对立中寻求和谐”的主题下，出现了三个类别：（1）揭示 SU 的开始及其对护理挑战的影响，（2）探索当前的封闭护理和感激之情，尽管存在不安，（3）渴望过上相对正常的生活。
参与者的主观观点强调了法医护士/医疗保健提供者在法医精神病学中考虑患者生活叙事、他们对未来的期望、他们对安全环境的需求以及医患关系等因素的重要性。这些发现强调了需要进行结构性干预，强调在康复中制定量身定制和全面的健康计划的重要性。
