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在为患有严重和持久精神健康问题的年轻人提供护理时,平衡自主和安全

Rianne de Soet¹, Robert R J M Vermeiren², Chanel H Bansema³

¹LUMC Curium - Child and Adolescent Psychiatry, Leiden University Medical Center, Post Box 15, Leiden, AA, 2300, The Netherlands. r.de_soet@lumc.nl.

European child & adolescent psychiatry

|November 22, 2025

概括

在儿童精神病学中,平衡患有严重和持久精神健康问题的年轻人的自主性和安全性是一项挑战. 涉及青年和护理人员的以关系为中心的方法是促进安全和自主性的关键.

科学领域:

儿童和青少年精神病学
心理健康研究心理健康研究
心理学心理学心理学

背景情况:

在住院儿童和青少年精神病学 (CAP) 中,平衡严重和持久的心理健康问题 (SEMHP) 的青少年的自主性和安全性提出了重大挑战.
像自杀倾向这样的高风险行为往往需要采取限制自主权的安全措施,从而造成临床困境和护理不一致.
了解这些相互矛盾的优先事项对于加强对SEMHP年轻人的临床支持至关重要.

研究的目的:

探索在住宅 CAP 中如何理解和谈判自主性和安全性.
通过SEMHP,护理人员和从业人员从年轻人的角度获得洞察力.
提供细微的理解,以加强对SEMHP的年轻人的临床支持.

主要方法:

使用两个重点小组和11个半结构面试进行的定性研究.
参与SEMHP的年轻人 (n=7),从业者 (n=8) 和护理人员 (n=6).
利用反射的主题分析来比较观点.

主要成果:

自主性和安全性是密切相关的概念.
出现了三个主要类别:安全和自主性的基础,安全和自主性的监管以及紧张和风险.
年轻人强调关系的亲密性,信任和共享决策;从业者关注边界和程序;照顾者有不同的观点.

结论:

为了平衡自主性和安全性,需要保持连接,以支持在支持性护理环境中的逐步成长.
在高风险情况下,以关系为中心的方法,与青年和护理人员共享决策,并创造放慢速度的空间是关键.
这些策略促进了SEMHP青年在住宅CAP中的安全性和自主性.

关键词:

自主权自主权是什么?儿童和青少年精神病学高风险行为高风险行为关系安全是关系安全.风险监管风险监管风险监管安全的安全的安全的安全的安全.

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