了解为什么经历心理健康危机的人在照顾之前离开急诊室:一种定性解释性研究
S Innes1,2, P Steel1,3, E Jack1
1Adult Mental Health and Wellbeing Program, Eastern Health, Melbourne, Victoria, Australia.
International journal of mental health nursing
|November 28, 2024
概括
许多经历心理健康危机的人离开急诊室 (ED) 没有得到照顾. 改善等待环境和沟通可以减少这种"不要等待" (DNW) 现象.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
背景情况:
- 许多经历心理健康危机的个人来到医院急诊室 (ED),但没有接受评估或护理就离开了,这种现象被称为"不等待" (DNW).
- 了解DNW离开背后的原因对于改善ED环境中提供心理健康紧急情况的护理质量至关重要.
研究的目的:
- 调查在心理健康危机期间不等待EDs护理的个体的特征.
- 确定患者在评估或护理之前选择离开EDS的原因.
- 了解从EDS中DNW的个人离开后的经历和结果.
主要方法:
- 采用了半结构化的电话采访方法,包括开放式和单选答案问题.
- 参与者从东部健康医院招募,特别是来自ED转诊的个人,以获得专业的心理健康护理.
- 42名受访者 (N=42) 参加了这项研究.
主要成果:
- 受访者通常是30多岁的女性成年人,经常伴随着另一个人,寻求立即救济和长期支持他们的心理健康危机.
- 到了一个临界点,等待的感知成本超过了离开的好处,导致离开.
- 超过一半的受访者报告说,他们的病情有所改善,离开ED后不再寻求进一步的治疗.
结论:
- 创造一个舒适的"安全场所"并确保有尊重的沟通,减少等待期间的不确定性,可能会减少EDs的早期离开.
- 与DNW人口接触带来了挑战,但这项研究为ED环境中的现象提供了有价值的见解.
- 减少DNW离开的许多建议改进似乎是可行的和可实现的,提供了一条改善紧急心理健康服务的途径.
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