在日本,一般家庭护士对有自杀念头的病人进行家庭访问的经验:半结构面试的结果
Tomoko Chijiiwa1, Kayoko Ishimura2
1Faculty of Nursing, Fukuoka International University of Health and Welfare, Fukuoka, Japan.
Journal of psychiatric and mental health nursing
|January 3, 2024
概括
在日本,一般家庭访问护士经常照顾自杀患者,但缺乏精神病学培训. 他们倾向于避免直接讨论自杀念头,强调需要加强培训和支持系统.
科学领域:
- 护理 护理 护理
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 健康问题,特别是抑郁和身体疾病,是日本自杀企图的主要原因.
- 患有身体疾病和自杀念头的患者经常在家庭护理机构遇到.
- 在日本,一般家庭访问护士 (GHVNs) 通常在没有专门的精神病学培训的情况下提供护理.
研究的目的:
- 探讨在家庭护理中照顾有自杀念头的患者的GHVN的经验和观点.
- 了解GHVN在与自杀患者打交道时的感知和互动.
- 为GHVNs提供有效的自杀预防策略的发展信息.
主要方法:
- 对15个GHVN进行了半结构化采访.
- 探索护士在照顾自杀患者时的经验,感知和反应.
- 专注于家庭护理机构护士面临的互动和挑战.
主要成果:
- 在遇到有自杀念头的患者时,GHVN报告说他们感到困惑.
- 护士经常避免直接讨论自杀想法,优先考虑维持关系.
- 这种方法可能会阻碍自杀风险评估,并导致患者孤立.
结论:
- GHVNs需要在自杀风险评估和治疗性沟通技能的加强培训.
- 制定直接解决自杀念头的沟通策略至关重要.
- 建立与精神病家庭访问护士的联络服务是持续护理的必要条件.
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