关于强制措施的患者经验的探索:在伊朗的封闭精神病医院中进行的定性研究
Hamid Asayesh1, Mohammad Parvaresh-Masoud2, Vahideh Nayeri3
1Department of Philosophy and Ethics of Health, School of Health and Religion, Qom University of Medical Sciences, Qom, Iran.
概括
伊朗的精神病患者经历了强制措施的创伤和痛苦,包括克制. 改善沟通和使用替代方案可以减少伤害,提高锁定病房的尊严.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 医学伦理 医学伦理
背景情况:
- 精神病学中的强制措施,虽然有时是必要的,但引起了伦理方面的担忧,并对患者产生了负面影响.
- 关于中东,特别是伊朗强迫行为的研究很少,这限制了对文化和结构影响的理解.
- 这项研究通过检查伊朗精神病患者与正式和非正式的强制措施的经验来弥补这一差距.
研究的目的:
- 探索伊朗被关闭的精神病房中遭受强制措施的患者的实践经验.
- 从患者的角度确定强制性做法的根源和后果.
- 了解患者报告的替代方案和预防策略,以减少胁迫.
主要方法:
- 半结构面试的定性内容分析与来自伊朗锁定精神病房的13名患者的半结构面试.
- 有目的的抽样确保了各种各样的强制措施经验.
- 数据收集的重点是患者的综合体验,感受和对胁迫的看法.
主要成果:
- 患者报告说,身体/机械约束和强制病房氛围造成的创伤.
- 强迫的主要触发因素包括工作人员沟通不良,患者行为和限制性环境.
- 负面后果包括心理痛苦,对护理的不信任和侵犯尊严;建议使用治疗关系等替代方案.
结论:
- 患者的经验凸显了精神病学环境中强迫的复杂性质.
- 改善医疗服务提供者与患者之间的沟通和维护尊严的替代方案对于减少对强制性做法的依赖至关重要.
- 调查结果强调需要优先考虑患者的自主权,并提高伊朗的精神病医疗护理质量.
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