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东南亚卫生专业人员和学生对心理健康康复的概念化:一项定性系统评价和元聚合分析

Conceptualisation of Mental Health Recovery by Health Professionals and Students in Southeast Asia: A Qualitative Systematic Review and Meta-Aggregation.

作者信息

Chatwiriyaphong Rinlita, Fernandez Ritin, Bosworth Rebecca, Kinghorn Grant, Moxham Lorna

机构信息

School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia.

Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Nakhon Pathomm, Thailand.

出版信息

J Psychiatr Ment Health Nurs. 2025 Jun;32(3):783-799. doi: 10.1111/jpm.13158. Epub 2025 Feb 17.

Abstract

INTRODUCTION

While the recovery approach is gaining recognition in non-Western countries, it remains underexplored in Southeast Asia. This study addressed this gap by examining how health professionals and students conceptualised recovery, providing insights for enhancing mental health practices.

AIM

To synthesise how health professionals and students in Southeast Asian countries understand mental health recovery.

METHODS

A search across CINAHL, MEDLINE, PsycINFO, Scopus, and the Web of Science identified ten qualitative studies (2006-2024). Data extraction, quality appraisal, and synthesis were conducted following the JBI methodology.

RESULTS

The findings highlighted a medically driven and determined return to normal functioning for individuals living with mental illness. This was classified into six categories: return to being a 'normal person', symptom-free status, medication adherence, access to mental health services, living with residual symptoms, and holistic care with a psychosocial focus.

DISCUSSION

Medical-oriented practices have dominated mental health care, creating a power imbalance. Training, education, culture, socioeconomic status, and stigma have shaped the understanding of recovery.

IMPLICATIONS FOR PRACTICE AND RECOMMENDATIONS

Shared decision-making and formal training prioritising lived experiences are vital to reducing power imbalances. A shift towards recovery-oriented approaches is critically needed to enhance mental health practices in Southeast Asia.

摘要

引言

虽然康复方法在非西方国家越来越受到认可,但在东南亚地区仍未得到充分探索。本研究通过考察卫生专业人员和学生如何理解康复,填补了这一空白,为加强心理健康实践提供了见解。

目的

综合东南亚国家卫生专业人员和学生对心理健康康复的理解。

方法

在CINAHL、MEDLINE、PsycINFO、Scopus和科学网进行检索,确定了10项定性研究(2006 - 2024年)。按照JBI方法进行数据提取、质量评估和综合分析。

结果

研究结果强调了对于患有精神疾病的个体,以医学为主导并确定其恢复正常功能的情况。这被分为六类:恢复为“正常人”、无症状状态、坚持服药、获得心理健康服务、带着残留症状生活以及以心理社会为重点的整体护理。

讨论

以医学为导向的实践主导了心理健康护理,造成了权力失衡。培训、教育、文化、社会经济地位和耻辱感塑造了对康复的理解。

对实践的启示和建议

共同决策以及优先考虑生活经历的正规培训对于减少权力失衡至关重要。迫切需要转向以康复为导向的方法,以加强东南亚地区的心理健康实践。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca0b/12056462/3961c802a7c0/JPM-32-783-g001.jpg

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