在亚洲为患有精神疾病的人实施和评估以康复为导向的实践干预措施:综合性审查
Chonmanan Khanthavudh1, Annmarie Grealish2, Vasiliki Tzouvara3
1Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, United Kingdom; Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
International journal of nursing studies
|September 14, 2023
概括
在亚洲,以恢复为导向的精神疾病干预正在增长,许多研究将西方实践适应当地文化. 需要在更多的亚洲国家进行进一步的研究,以充分了解实施情况.
科学领域:
- 心理健康研究 心理健康研究
- 全球精神病学全球精神病学
- 医疗保健实施科学 医疗保健实施科学
背景情况:
- 面向恢复的实践 (ROP) 是心理健康护理的一个关键范式,强调个人赋权和有目的的生活.
- 虽然ROP已经在西方国家建立,但在亚洲的背景下,其采用和适应的理解较少.
- 本综述解决了关于亚洲ROP干预措施的知识差距.
研究的目的:
- 确定在亚洲实施的ROP干预类型.
- 检查对这些干预措施的文化适应.
- 确定其实施和评估的障碍和促进者.
主要方法:
- 采用了综合性审查方法,遵循惠特莫尔和Knafl的框架.
- 在六个电子数据库 (PsycINFO,MEDLINE,Embase,CINAHL,Web of Science,Cochrane Library) 进行了系统的搜索,截至2022年1月.
- 符合条件的研究重点是亚洲环境中针对精神疾病的重点康复干预措施的实施和评估.
主要成果:
- 包括38项研究,确定了7种主要类型的ROP干预 (例如,同行计划,疾病管理和康复,个人安置和支持).
- 经常报道文化适应,涉及语言,内容,规范,信仰,家庭和当地环境.
- 障碍包括对康复概念的理解不足和资源不足,同时测量了各种临床和个人结果.
结论:
- 以恢复为导向的干预措施在亚洲越来越普遍,近一半的研究指出了显著的文化适应.
- 目前的研究环境在地理上是有限的,需要在不同亚洲国家进行更严格的研究.
- 在亚洲各地,针对患有精神疾病的个体进行面向康复的实践干预的趋势越来越大.
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