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为何前往精神病医院?一年内多次住院的精神障碍患者的经历:一项定性研究。

Why Go to the Psychiatric Hospital? The Experiences of People Living with Mental Disorders Hospitalized Multiple Times in One Year: A Qualitative Study.

作者信息

Martino Patrick, Saraga Michael, Dubuis Jérôme, Kovacevic Milja

机构信息

Department of Psychiatry (DP), Centre Hospitalier Universitaire Vaudois (CHUV), 1008 Prilly, Switzerland.

出版信息

Nurs Rep. 2025 Apr 14;15(4):132. doi: 10.3390/nursrep15040132.

Abstract

: Recent trends in public psychiatry have resulted in increasingly shorter hospital stays. In parallel, a number of patients seem to require frequent rehospitalization. Several studies have examined the subject of rehospitalization in psychiatry from a quantitative point of view, but little qualitative literature exists on patients' experiences. : This qualitative study, conducted in a Swiss university hospital, explores the lived experiences of patients who are hospitalized multiple times within a year. : Using criterion-based purposive sampling, we conducted 20 semi-structured interviews. : Our findings show that patients explain their return to the hospital either by external factors, such as social and housing difficulties, or by their state of suffering and the sense of security that the hospital can offer them. From their perspective, hospitalizations are not always failures but can also meet a specific need for safety and stabilization. : This study highlights the importance of better understanding the needs of frequently hospitalized patients to optimize their care, while also emphasizing the value of exploring their lived experiences through qualitative research.

摘要

近期公共精神病学领域的趋势导致住院时间越来越短。与此同时,一些患者似乎需要频繁再次住院。有几项研究从定量的角度审视了精神病学中的再次住院问题,但关于患者经历的定性文献却很少。

这项在瑞士一家大学医院开展的定性研究,探讨了一年内多次住院患者的实际经历。

我们采用基于标准的目的抽样法,进行了20次半结构化访谈。

我们的研究结果表明,患者将他们再次住院的原因归结为外部因素,如社会和住房困难,或者是他们的痛苦状态以及医院能给予他们的安全感。从他们的角度来看,住院并不总是失败的,也可以满足对安全和稳定的特定需求。

这项研究强调了更好地了解频繁住院患者的需求以优化其护理的重要性,同时也强调了通过定性研究探索他们实际经历的价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b85/12029625/526de68d7d92/nursrep-15-00132-g001.jpg

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