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为遭受网络欺凌的儿童和青少年提供护理干预的心理健康护士的经历:一项定性研究。

Experiences of mental health nurses who give nursing intervention among child and adolescent with cyberbullying: a qualitative study.

作者信息

Yosep Iyus, Mardhiyah Ai, Suryani Suryani, Hikmat Rohman, Kurniawan Kurniawan, Purnama Heni

机构信息

Department of Mental Health, Faculty of Nursing, Universitas Padjadjaran, Jl. Raya Ir. Soekarno KM. 21 Hegarmanah, Jatinangor, Sumedang, West Java, 45363, Indonesia.

Department of Pediatric Nursing, Faculty of Nursing, Universitas Padjadjaran, Jawa Barat, Sumedang, Indonesia.

出版信息

BMC Nurs. 2025 May 14;24(1):527. doi: 10.1186/s12912-025-03182-x.

DOI:10.1186/s12912-025-03182-x
PMID:40369588
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12080159/
Abstract

BACKGROUND

The incidence of cyberbullying among adolescents has been increasing significantly each year, causing negative psychological impacts such as anxiety, low self-esteem, and depression. Mental health nurses play a pivotal role in mitigating these effects and supporting adolescent victims of cyberbullying through comprehensive nursing care.

OBJECTIVE

This study aimed to investigate the experiences of Mental health nurses in providing nursing interventions to adolescent victims of cyberbullying, focusing on challenges, strategies, and specific care practices.

METHODS

A qualitative descriptive approach was employed, utilizing semi-structured interviews to gather data from 12 Mental health nurses working in child and adolescent rehabilitation units at a psychiatric hospital in West Java Province, Indonesia. Participants were selected using purposive sampling to ensure a diverse representation of nurses with experience in handling cases of cyberbullying. Data were analyzed thematically, with specific attention to the identification of recurring patterns and themes related to nurses' interventions and experiences.

RESULTS

The analysis identified five main themes: (1) types of bullying experienced by adolescents, (2) factors influencing the impact of cyberbullying, (3) obstacles and difficulties faced by nurses, (4) specific nursing interventions employed, and (5) unique experiences and coping strategies of nurses. Nurses underscored the challenges of addressing the multifaceted effects of cyberbullying and the importance of individualized interventions to support victims effectively.

CONCLUSION

The study highlights the critical role of mental health nurses in providing targeted, holistic care for adolescent victims of cyberbullying. Nurses emphasize the need for comprehensive care strategies, the involvement of parents, and collaboration with the adolescent's social environment to foster positive coping mechanisms and resilience. These findings advocate for healthcare policies and training programs that empower nurses to effectively address cyberbullying and provide robust support to affected adolescents.

摘要

背景

青少年网络欺凌的发生率每年都在显著上升,会造成焦虑、自卑和抑郁等负面心理影响。心理健康护士在减轻这些影响以及通过全面的护理为网络欺凌的青少年受害者提供支持方面发挥着关键作用。

目的

本研究旨在调查心理健康护士为网络欺凌青少年受害者提供护理干预的经历,重点关注挑战、策略和具体护理实践。

方法

采用定性描述性方法,利用半结构化访谈从印度尼西亚西爪哇省一家精神病医院儿童和青少年康复科工作的12名心理健康护士那里收集数据。采用目的抽样法选择参与者,以确保有处理网络欺凌案件经验的护士具有多样化代表性。对数据进行主题分析,特别关注识别与护士干预和经历相关的反复出现的模式和主题。

结果

分析确定了五个主要主题:(1)青少年经历的欺凌类型,(2)影响网络欺凌影响的因素,(3)护士面临的障碍和困难,(4)采用的具体护理干预措施,以及(5)护士的独特经历和应对策略。护士强调应对网络欺凌多方面影响的挑战以及个性化干预对有效支持受害者的重要性。

结论

该研究强调了心理健康护士在为网络欺凌青少年受害者提供有针对性的整体护理方面的关键作用。护士强调需要全面的护理策略、家长的参与以及与青少年社会环境的合作,以培养积极的应对机制和恢复力。这些发现倡导制定医疗保健政策和培训项目,使护士有能力有效应对网络欺凌并为受影响的青少年提供有力支持。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed89/12080159/80fc71a41b9d/12912_2025_3182_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed89/12080159/80fc71a41b9d/12912_2025_3182_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed89/12080159/80fc71a41b9d/12912_2025_3182_Fig1_HTML.jpg

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本文引用的文献

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J Multidiscip Healthc. 2024 Aug 29;17:4177-4188. doi: 10.2147/JMDH.S479364. eCollection 2024.
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A Scoping Review of Anti-Bullying Interventions: Reducing Traumatic Effect of Bullying Among Adolescents.一项关于反欺凌干预措施的范围综述:减少欺凌对青少年的创伤影响。
J Multidiscip Healthc. 2024 Jan 20;17:289-304. doi: 10.2147/JMDH.S443841. eCollection 2024.
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Nursing Interventions against Bullying: A Systematic Review.
护理干预防治欺凌:系统评价。
Int J Environ Res Public Health. 2023 Feb 7;20(4):2914. doi: 10.3390/ijerph20042914.
4
School-Based Nursing Interventions for Preventing Bullying and Reducing Its Incidence on Students: A Scoping Review.基于学校的护理干预措施预防欺凌行为及其对学生发生率的影响:范围综述。
Int J Environ Res Public Health. 2023 Jan 15;20(2):1577. doi: 10.3390/ijerph20021577.
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Triple-P e-Parenting to Improve Awareness of Psychiatric Nurses on Preventing Cyberbullying in Adolescents.运用三原则电子育儿法提高精神科护士对预防青少年网络欺凌的认识
Healthcare (Basel). 2022 Dec 21;11(1):19. doi: 10.3390/healthcare11010019.
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Method of Nursing Interventions to Reduce the Incidence of Bullying and Its Impact on Students in School: A Scoping Review.减少校园欺凌发生率及其对学生影响的护理干预方法:一项范围综述
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An Adaptation of the COPE Intervention for Adolescent Bullying Victimization Improved Mental and Physical Health Symptoms.《COPE 干预对青少年受欺凌者身心健康症状的改善》的改编版。
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