一个护理过程,共享决策的严重精神疾病患者接受治疗涉及长期强制措施的治疗:一个修改的基于理论的方法
1School of Nursing, Kanazawa Medical University, 1-1 Uchinada, Kahoku 920-0265, Ishikawa, Japan.
Healthcare (Basel, Switzerland)
|May 24, 2024
概括
本研究概述了重症精神疾病 (SMI) 护理中共享决策 (SDM) 的护理过程,重点关注强制措施下的患者. 护士通过理解和自我选择来引导患者,根据患者对刺激的反应来调整领导力.
科学领域:
- 精神病学护理 精神病学护理
- 心理健康护理 心理健康护理
- 共享的决策方式
背景情况:
- 共享决策 (SDM) 越来越多地被认为是在严重精神疾病 (SMI) 中促进以康复为导向的关系.
- 在长期强制措施下的患者中实施SDM,例如隔离和克制,在精神病学环境中提出了独特的挑战.
研究的目的:
- 描述一种新的护理过程,以促进在接受强制治疗的SMI精神病患者中进行SDM.
- 探索护士如何在隔离室的限制性环境中适应SDM策略.
主要方法:
- 采用了修改后的基于理论的方法.
- 数据是通过对17名精神病护士进行半结构面试来收集的.
- 分析了字面转录以产生概念,类别,并通过图表和故事情节来说明关系.
主要成果:
- 为SDM开发的护理过程涉及护士感知患者对刺激的反应.
- 护士主导的预防措施被认为是补偿患者应对缺陷的关键.
- 护士积极创造患者自我理解和自我选择的机会,平衡主动干预与患者自主权.
结论:
- 描述的护理过程支持SDM,使护士能够动态评估患者的准备,并调整决策领导.
- 这种方法解决了强制性环境中的SMI护理的复杂性,促进了患者参与和治疗关系.
- 护士在评估患者对刺激的反应和确定护士主导与患者主导决策的最佳平衡方面发挥着关键作用.
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