探索家庭精神病治疗的实践经验:西班牙服务用户,家庭和专业人员的定性研究
Ana María Besoaín-Cornejo1,2,3, Montserrat Gil-Girbau1,2,4, Mariam Alouali-Moussakhkhar4
1Health Technology Assessment in Primary Care and Mental Health (PRISMA) Research Group, Teaching, Research & Innovation Unit, Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, Spain.
Frontiers in psychiatry
|October 9, 2025
概括
像CRHT这样的精神病家庭护理计划提供个性化的治疗,并加强家庭纽带. 虽然使用者在家里感到安全,但他们需要在出院后得到支持,照顾者可能需要额外的危机管理援助.
科学领域:
- 心理健康 心理健康
- 精神病学护理 精神病学护理
- 医疗保健提供模式 医疗保健提供模式
背景情况:
- 精神病家庭护理为心理健康危机提供多学科,以用户为中心的干预措施.
- 以前的研究集中在用户和护士的满意度上,缺乏整体的视角.
- 了解精神病医院住院住院的所有利益相关者的经验至关重要.
研究的目的:
- 探索参与西班牙精神病家庭住院计划的用户,家庭和医疗保健专业人员的经验.
- 在危机解决和家庭治疗 (CRHT) 模型中确定关键主题和挑战.
- 评估家庭精神病医疗的感知好处和缺点.
主要方法:
- 对CRHT计划进行定性现象学研究.
- 在2021-2022年期间进行的半结构化个人和小组采访.
- 主题分析由多学科团队进行,并由外部审查.
主要成果:
- 出现了四个主题:计划组织,家庭护理经验,家庭参与,以及基于家庭模式的后果.
- CRHT能够实现个性化,上下文化治疗,促进用户和家庭的安全和满意度.
- 用户报告说,他们对出院后感到不准备,护理人员认为需要额外的支持.
结论:
- CRHT是一种灵活的,以人为中心的干预措施,可以在患者,家庭和护理团队之间建立信任.
- 家庭护理加强了家庭关系,并促进了个性化治疗计划.
- 解决护理负担和出院后的需求对于优化CRHT有效性至关重要.
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