这一切是什么? 一个探索性研究患者的经验与无药治疗的药物治疗
Elisabeth C Klæbo Reitan1,2, Henriette Riley3, Valentina C Iversen4,5
1Division of Mental Health and Substance Abuse, University Hospital of North Norway (UNN), Tromsø, Norway. elisabeth.c.reitan@uit.no.
BMC psychiatry
|December 2, 2024
概括
这项研究探讨了患者对严重精神疾病的无药治疗的经验. 研究结果强调了"无药"护理的复杂性,强调对话,赋权和治疗关系,而不是简单地停止药物治疗.
科学领域:
- 心理健康研究 心理健康研究
- 精神病学是一个精神病学.
- 患者体验研究 患者体验研究
背景情况:
- 根据政治指令,2017年成立了一个挪威病房单位,为严重精神疾病提供"免费治疗".
- 这项研究探讨了入院于这个专科病房的患者的经历.
研究的目的:
- 探索患者在专门的"无药治疗"病房中的体验.
- 了解严重精神疾病护理中"无药"方法的细微差别.
主要方法:
- 在2017年1月至2021年10月期间接受治疗的19名患者进行了半结构面试.
- 系统文本凝结被用于分析,采访被录制,转录,并在NVivo软件中管理.
主要成果:
- 患者重视在没有药物的情况下生活的对话,重点是赋权,活动和灵活性.
- 经验包括矛盾和恐惧,并非所有患者都实现了药物减量目标.
- 识别的关键主题是Tapering off,关系,和框架和内容,跨类别的总体过程.
结论:
- "无药"治疗是复杂的,不仅仅是戒毒,还包括人内因素和治疗环境.
- 患者的准备,承诺和病房的价值观显著影响药物治疗的成功.
- 重新发现赋权和同情关系对于促进严重精神疾病治疗中的连贯性和意义至关重要.
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