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家庭成员在法医精神病护理期间的经历:一项基于现象学的主题访谈研究。

Experiences of families when a member is in forensic psychiatric care: a phenomenologically based thematic interview study.

作者信息

Björnberg Gustav, Hörberg Ulrica

机构信息

Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.

Research Department, Region Kronoberg, Regional Forensic Psychiatric Clinic in Växjö, Växjö, Sweden.

出版信息

Front Psychiatry. 2025 Apr 22;16:1564591. doi: 10.3389/fpsyt.2025.1564591. eCollection 2025.

Abstract

INTRODUCTION

This article focuses on the meaning of being a family when a member of the family is cared for in forensic psychiatric care. The latter operates at the crossroads of psychiatric services and the legal system, making it a highly complex area of care. Families play a vital role in supporting recovery from mental illness, however, when a family member has committed a crime and suffers from severe mental illness, pressure and stress of a complex nature are felt by the family. The aim of this study was to describe the lived experiences of families when a member is in forensic psychiatric care.

MATERIAL AND METHODS

Seven family interviews (15 participants) were conducted and analyzed with a Reflective lifeworld approach in this phenomenological study.

RESULTS

The findings reveal four themes; Being constantly affected by uncertainty; A struggle to maintain family relations - overcoming barriers in the form of restrictions; Trying to help despite inherent powerlessness and It is not just the patient who needs to heal when the family is wounded.

CONCLUSION

A family with a family member who is being cared for in forensic psychiatric care have support needs that are not fulfilled, even though these have been highlighted from several different perspectives. Healthcare professionals might be able to provide substantial support to the family by using simple yet effective methods, such as active listening and empathetic communication. By fostering an open dialogue and understanding, caregivers can help bridge gaps and facilitate better outcomes. A family-oriented practice should thus become a fundamental component of caregiving strategies in forensic psychiatric care.

摘要

引言

本文聚焦于当家庭成员在法医精神病护理机构接受护理时,家庭所具有的意义。法医精神病护理处于精神科服务与法律体系的交叉点,使其成为一个高度复杂的护理领域。家庭在支持精神疾病康复方面发挥着至关重要的作用,然而,当家庭成员犯罪且患有严重精神疾病时,家庭会感受到复杂性质的压力和紧张。本研究的目的是描述家庭成员在法医精神病护理机构接受护理时,家庭的实际经历。

材料与方法

在这项现象学研究中,采用反思性生活世界方法对七次家庭访谈(15名参与者)进行了分析。

结果

研究结果揭示了四个主题:持续受到不确定性的影响;努力维持家庭关系——克服限制形式的障碍;尽管自身无力但仍试图提供帮助;当家庭受到伤害时,需要治愈的不仅仅是患者。

结论

有家庭成员在法医精神病护理机构接受护理的家庭,其支持需求未得到满足,尽管这些需求已从多个不同角度得到强调。医疗保健专业人员或许能够通过使用简单而有效的方法,如积极倾听和共情沟通,为家庭提供实质性支持。通过促进开放的对话和理解,护理人员可以帮助弥合差距并促成更好的结果。因此,以家庭为导向的实践应成为法医精神病护理中护理策略的基本组成部分。

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