社区医生对管理复杂儿童和青少年精神病患者的看法:自决理论视角
Adam Neufeld1, Abdul Rahman2, Nneka Orakwue-Ononye2
1Department of Academic Family Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta.
概括
社区医生表现出对照顾有复杂心理健康需求的年轻人的兴趣和能力. 然而,系统性障碍会对他们的心理需求和动机产生负面影响,影响护理质量.
科学领域:
- 儿童和青少年精神病学
- 社区医生精神健康
- 自决理论 (SDT) 自决理论
背景情况:
- 高等保健机构努力维持复杂的儿科精神健康病例.
- 对社区医生提供这种护理的心理影响是研究不足的.
- 自决理论 (SDT) 为了解医生福祉提供了一个框架.
研究的目的:
- 探索关怀有复杂心理健康需求的儿童和青少年对社区医生的心理影响.
- 通过SDT,研究这些挑战如何影响医生的基本心理需求 (自主,能力,亲属关系) 和内在动机.
- 确定潜在的干预措施,以支持医生和改善患者护理.
主要方法:
- 在加拿大阿尔伯塔省卡尔加里的社区医生进行匿名在线调查.
- 利用SDT的基于需求的框架和22项内在动机清单.
- 通过医生对临床经验的评论收集了定性见解.
主要成果:
- 医生报告了中度至高的兴趣/享受,以及对管理复杂儿科精神病患者的感知能力.
- 医生报告说,在执行这些任务时,他们认为选择能力低,紧张/压力高.
- 定性数据显示了显著的心理影响,并突出了系统性障碍.
结论:
- 社区医生有动力,并具备管理复杂儿科精神健康病例的技能.
- 系统性障碍阻碍了医生的基本心理需求和内在动机.
- 解决这些障碍对于支持医生和加强对这个脆弱人群的护理至关重要.
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