一般医生如何帮助年轻人避免未来的自我伤害:一种定性研究
Faraz Mughal1, Carolyn A Chew-Graham2, Ellen Townsend3
1School of Medicine, Keele University, Keele, UK; Unit of Academic Primary Care, Warwick Medical School, University of Warwick, Coventry, UK and Department of General Practice and Primary Care, Melbourne Medical School, University of Melbourne, VIC, Australia.
概括
一般医生 (GPs) 面临时间限制和培训需求,当支持年轻人16-25岁的自我伤害. 解决这些障碍可以改善全科医生对青少年心理健康的支持.
科学领域:
- 一般实践 一般实践
- 青少年心理健康 青少年心理健康
- 行为科学 行为科学
背景情况:
- 在年轻人中,自我伤害是一个显著而日益关注的问题.
- 一般医生 (GPs) 通常是年轻人自我伤害后的主要医疗保健联系人.
- 了解GP的行为对于有效的支持干预至关重要.
研究的目的:
- 调查全科医生在支持年轻人 (16-25岁) 预防自我伤害方面的能力,机会和动机 (COM-B模型).
- 确定医生在该领域所感知的培训需求.
主要方法:
- 有关15名英格兰NHS全科医生的半结构面试的定性研究.
- 数据分析使用反射主题分析,映射到COM-B模型.
- 患者和公众参与小组为数据分析做出了贡献.
主要成果:
- 整体医生报告了各种能力,有些人经历了情绪疲劳.
- 电子咨询等机会存在,但时间限制是主要障碍.
- 动机是存在的,但受到工作负载的影响;在沟通,知识和安全方面确定了未满足的培训需求.
结论:
- 一般医生得到实践团队的支持,但时间不足限制了他们帮助自伤的年轻人的能力.
- 未来的干预措施应侧重于提高GP的动机,并解决有效支持的时间限制.
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