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针对照顾精神卫生服务使用者家庭的心理社会干预措施:一种名义群体技术。

Psychosocial Interventions for Families Caring for Mental Health Care Users: A Nominal Group Technique.

作者信息

Mbedzi Takalani Ellen, van der Wath Anna Elizabeth, Moagi Miriam Mmamphamo

机构信息

Department of Nursing, Faculty of Health Sciences, University of Venda, Thohoyandou, South Africa.

Department of Nursing, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.

出版信息

J Psychiatr Ment Health Nurs. 2025 Oct;32(5):1131-1141. doi: 10.1111/jpm.70008. Epub 2025 Jul 4.

Abstract

INTRODUCTION

In light of the rising global prevalence of mental illness and the need for deinstitutionalised care, families are required to provide community-based care to mental healthcare users. Family members need to be prepared and supported to undertake this role.

AIM

The aim was to develop psychosocial interventions to ease the burden of family caregivers of mental healthcare users.

METHOD

Using convenience sampling, 21 stakeholders were selected. The participants had at least 2 years' experience and/or expertise in the care of family members of mental healthcare users. During a workshop, a nominal group technique was used to collect data. The six steps of Braun and Clarke guided the data analysis.

RESULTS

Three themes were identified, namely, interventions to provide mental health education, interventions to promote social support for families and interventions to ensure effective psychological support for families and mental healthcare users.

DISCUSSION

The nominal group technique allowed healthcare and community stakeholders to become aware of their role in supporting family caregivers of mental healthcare users. Healthcare providers need to be empowered to use basic family counselling skills.

IMPLICATIONS FOR PRACTICE

Implementation of the developed interventions might lead to a reduction in relapse rates and relieve the caregiver burden.

摘要

引言

鉴于全球精神疾病患病率不断上升以及对非机构化护理的需求,家庭需要为精神卫生保健使用者提供社区护理。需要让家庭成员做好准备并给予支持,以便他们承担这一角色。

目的

旨在开发心理社会干预措施,以减轻精神卫生保健使用者家庭照顾者的负担。

方法

采用便利抽样法,选取了21名利益相关者。参与者在照顾精神卫生保健使用者家庭成员方面至少有2年经验和/或专业知识。在一次研讨会上,使用了名义小组技术来收集数据。数据分析遵循了布劳恩和克拉克的六个步骤。

结果

确定了三个主题,即提供心理健康教育的干预措施、促进家庭社会支持的干预措施以及确保为家庭和精神卫生保健使用者提供有效心理支持的干预措施。

讨论

名义小组技术使医疗保健和社区利益相关者意识到他们在支持精神卫生保健使用者家庭照顾者方面的作用。需要赋予医疗保健提供者使用基本家庭咨询技能的权力。

对实践的启示

实施所开发的干预措施可能会降低复发率并减轻照顾者负担。

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