对饮食障碍进行密集推广计划的年轻人和家长的经验 - - 一个反思性的专题分析
Cliona Brennan1,2, Ellen McAdams1, Amy Chimes1
1Maudsley Centre for Child and Adolescent Eating Disorders (MCCAED), South London and Maudsley NHS Foundation Trust, London, UK.
概括
饮食障碍 (ED) 的密集推广计划 (IOP) 帮助家庭应对危机,患者和护理人员重视结构化的支持和明确的界限. 加强沟通和灵活性可以改善这些重要的基于社区的ED治疗.
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
- 家庭治疗 家庭治疗
背景情况:
- 强化推广计划 (IOP) 旨在通过支持社区的高风险青年和家庭,防止因饮食障碍 (ED) 住院入院.
- 这项研究探讨了IOP内的患者和护理人员的经验,以确定改善服务的领域.
研究的目的:
- 调查患者和护理人员在密集推广计划 (IOP) 中对饮食障碍治疗的经验.
- 为了确定IOP治疗期间感知到的好处,挑战和变化.
- 为增强基于社区的饮食障碍外展服务提出建议.
主要方法:
- 与9名青少年患者和13名护理人员进行了半结构化采访,这些患者在IOP出院1个月后接受了采访.
- 开放式问题探讨了治疗经验,以反射性主题分析为指导.
- 记录的采访的字面转录用6个阶段的反射主题分析来分析.
主要成果:
- 三个主要主题出现了:"从绝望到方向"",岩石底部"和"没有快速修复".
- 参与者将IOP视为变革的催化剂,在急性危机期间经常开始治疗.
- 护理人员感到专业人士赋予他们权力,以采取自信的角色,而患者则受益于坚定的界限.
结论:
- 迅速,结构化的支持,协作和个性化护理被认为是治疗成功的关键.
- 建议包括改善ED服务和家庭之间的沟通,提供灵活的预约,并保持以患者为中心的护理.
- 优化ED年轻人的IOP疗效需要一个结构化,协作和灵活的方法.
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