在人格障碍中了解广泛护理需求背后的个人和结构因素:解释性的现象学分析
Jennifer Strand1, Flavio Di Leone2,3, Evelina Dervisoski2
1Department of Psychology, University of Gothenburg, Gothenburg, Sweden.
患有人格障碍 (PD) 的人在精神病治疗中经历了未得到满足的需求,经常感到无效和绝望. 目前的治疗方法,包括急诊和住院治疗,需要改革,以改善患者的福祉,减少对系统的依赖.
科学领域:
- 精神病学是一个精神病学.
- 心理健康服务研究 心理健康服务研究
- 质量健康研究 质量健康研究
背景情况:
- 个性障碍 (PD) 患者的医疗利用率很高,包括经常住院治疗.
- 对于PD的密集精神病学干预措施的有效性和患者经验仍然未得到充分研究.
研究的目的:
- 调查患者对导致患有PD的个体中对精神病学干预的高需求的因素的观点.
- 了解精神卫生保健系统内的PD患者的高护理消费者的生活经验.
主要方法:
- 使用解释性现象学分析 (IPA) 进行的定性研究.
- 半结构面试对11名被诊断患有PD的患者进行了半结构面试,这些患者需要高度护理.
主要成果:
- 紧急部门的访问与情绪困扰和社会隔离有关,被认为是绝望的行为.
- 住院护理被描述为无人性,缺乏个性化治疗,并严重依赖药理干预,增加无望.
- 住院和门诊服务都经历了被动等待期,突出了未满足的需求和失效.
结论:
- 目前针对PD的精神病学干预可能无法充分解决患者的需求,导致不满和持续高服务使用率.
- 医疗保健系统必须优先考虑个性化护理,加强沟通,并探索其他危机管理策略.
- 改革急诊室的实践和治疗方法对于改善结果和减少PD患者对急性精神卫生服务的依赖至关重要.
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