护士对患有精神病和物质使用障碍同时发生的精神病患者的看法在精神病学环境中:一个有根据的理论研究
Etienne Bertrand1, Jean-Manuel Morvillers2
1Pôle 75G28, GHU Paris Psychiatrie et Neurosciences, Paris, France.
Journal of advanced nursing
|January 16, 2025
概括
精神病护士认为照顾患有并发性疾病的患者是"积极等待"患者.
科学领域:
- 精神病学护理 精神病学护理
- 成精神病学成精神病学
- 质量健康研究 质量健康研究
背景情况:
- 同时出现的精神病和物质使用障碍在精神病学环境中带来了独特的挑战.
- 了解护士的看法对于有效的患者护理至关重要.
- 之前的研究还没有充分探索护士在这种特定情况下的细微经验.
研究的目的:
- 探索精神病学和精神卫生护士对患有同时出现精神病和物质使用障碍的患者的看法.
- 确定护士在管理这些复杂的患者群体时所采用的核心挑战和策略.
主要方法:
- 一个探索性的定性研究,使用接地理论和斯特劳斯的分析程序.
- 与法国一家公共精神病医院的11名精神病护士进行了半结构面试.
- 数据分析涉及采访成绩单和现场笔记的开放,轴向和选择性编码.
主要成果:
- 确定的核心类别是"等待患者改变意愿出现".
- 护士在临床稳定和维持护士患者关系之间采用平衡策略.
- 确定患者对变革的准备,有助于进行协作式的方法.
结论:
- 该研究产生了关于护士和患有并发疾病的患者之间的相互作用过程的实质性理论.
- 调查结果强调需要加强协作方法,即使在早期恢复阶段.
- 建议精神病护士接受成护理培训,因为同时出现的疾病的患病率很高.
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