"帮助者"还是"惩罚者"? 这是一项定性研究,探讨了医务人员在住院治疗严重和复杂饮食障碍的经验
Sienna Bommen1, Helen Nicholls1, Jo Billings2
1Division of Psychiatry, University College London, 6th Floor, Maple House, 149 Tottenham Court Road, London, W1T 7NF, UK.
Journal of eating disorders
|December 8, 2023
概括
住院饮食障碍治疗的员工面临着挑战,因为患者的抵抗和经历创伤,他们觉得自己是惩罚者. 改善组织支持对于他们的福祉和患者护理至关重要.
科学领域:
- 心理健康研究 心理健康研究
- 临床心理学 临床心理学
- 医疗保健工作人员 福祉 医疗保健工作人员
背景情况:
- 饮食障碍是复杂的和具有挑战性的治疗,往往需要住院护理.
- 关于饮食障碍的现有研究集中在患者的观点和一般服务提供上.
- 关于在住院治疗中处理严重饮食障碍病例的经验和影响的理解有限.
研究的目的:
- 探索参与治疗严重和复杂饮食障碍症状的医疗保健工作人员的实践经验.
- 了解专业住院饮食障碍病房工作人员面临的挑战和影响.
主要方法:
- 来自英国专业机构的12名工作人员,包括护理和多学科团队的有目的抽样.
- 进行了半结构面试,以收集深入的定性数据.
- 使用反射性主题分析来解释采访成绩单.
主要成果:
- 工作人员报告说,对于严重和复杂病例的治疗方法存在不确定性.
- 参与者经常觉得自己是'惩罚者',而不是'帮助者',因为患者对治疗有抵抗力.
- 工作人员经历了严重的身体和情绪困扰,包括侵略性,自我伤害和自杀企图,组织支持不足.
结论:
- 迫切需要优先考虑住院饮食障碍病房的员工的福祉和支持系统.
- 审查招聘和保留策略对于减轻员工流动和提高患者护理至关重要.
- 建议进一步调查专家住院人员中代理创伤,道德伤害和同情疲劳的流行情况.
相关概念视频
Binge Eating Disorders
73
Binge eating disorder is a significant mental health condition characterized by recurrent episodes of excessive food consumption within a short period, accompanied by a perceived loss of control over eating behavior. Unlike occasional overeating, binge eating disorder is marked by distressing emotions such as guilt, shame, and anxiety following binge episodes. The disorder affects individuals across different ages and backgrounds, with profound implications for physical and psychological...
73
Anorexia Nervosa
75
Anorexia nervosa is a complex and severe eating disorder characterized by an intense fear of weight gain, an unrelenting pursuit of thinness, and a distorted body image. It often leads to dangerously low body weight relative to an individual's age and height. This disorder is marked by significant physical and psychological consequences, making it one of the most life-threatening psychiatric illnesses.
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
75
Bulimia Nervosa
87
Bulimia nervosa is a complex and severe eating disorder characterized by a cyclical pattern of binge-and-purge eating pattern. It generally involves an episode of binge eating, followed by compensatory behaviors such as vomiting, excessive exercise, laxative use, or fasting, to prevent weight gain. Despite often maintaining a normal weight, individuals with bulimia are intensely preoccupied with their body image and harbor an overwhelming fear of gaining weight. This can contribute to the...
87
Treatment Strategies for Psychological Disorders
137
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
137
Taste Buds and Receptors
2.0K
Gustation, or the sense of taste, is intrinsically linked to the anatomical structures located on the tongue. This organ's surface, along with the entirety of the oral cavity, is adorned with stratified squamous epithelium. Evident on the tongue are elevated structures known as papillae (singular = papilla), which house the mechanisms for the transduction of gustatory stimuli. Four distinct types of papillae exist, each identified by their unique morphological attributes: the circumvallate,...
2.0K
Specialized Care Centers and Settings-I
944
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
944


