经验 (共享) 决策:精神疾病患者及其家属的定性研究结果
Katja Schladitz1, Elena C Weitzel1, Margrit Löbner1
1Institute of Social Medicine, Occupational Health and Public Health (ISAP), Medical Faculty, Leipzig University, 04103 Leipzig, Germany.
Healthcare (Basel, Switzerland)
|August 26, 2023
概括
患有精神疾病的个人及其家人希望在治疗和诊断方面进行共享决策 (SDM). 像耻辱和系统问题这样的障碍妨碍了这一点,但同行支持可以帮助提高心理健康护理质量.
科学领域:
- 心理健康研究 心理健康研究
- 医疗保健政策 医疗保健政策
- 患者倡导 患者倡导
背景情况:
- 医疗保健越来越多地采用共享决策 (SDM).
- 本研究从患有精神疾病的个人及其家属的角度研究SDM.
- 它确定了促进或阻碍精神卫生保健中SDM过程的因素.
研究的目的:
- 探索精神疾病患者及其家庭成员关于共同决策的经验和观点.
- 确定促进和阻碍精神卫生保健机构中SDM的关键因素.
- 了解SDM在提高心理健康服务质量的作用.
主要方法:
- 与受精神疾病影响的个人和/或他们的家庭成员进行了15次电话采访.
- 包括有情绪和焦虑障碍经历的参与者.
- 通过使用Mayring的既定程序分析了定性数据.
主要成果:
- 患有精神疾病的个人及其家人强烈希望参与治疗决策和诊断.
- 参与往往被拒绝,允许的行为有时会阻碍参与.
- 与精神疾病和结构性医疗保健系统障碍相关的耻辱大大阻碍了SDM.
- 同行支持,自助小组和心理咨询赋予个人权力,促进SDM.
结论:
- 共享决策对提高心理健康护理质量有很大的潜力.
- 通过精神病学部门的有针对性的干预措施,可以解决SDM的障碍.
- 从诊断阶段开始,SDM应被视为一个完整的过程,并实施.
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