精神疾病患者与他们的护理人员之间存在分歧的经验
Yuji Fujimoto1, Takaomi Furuno1, Narumi Fujino1
1Department of Nursing, Faculty of Medicine, Saga University, Saga, JPN.
Cureus
|February 16, 2026
概括
在精神病治疗中,服务用户往往会因为对康复和自主性的不同价值观而与提供者发生分歧. 承认这些价值冲突是有效的共同决策 (SDM) 的关键.
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
- 共享决策 共同的决策
背景情况:
- 共享决策 (SDM) 对于心理健康的个人康复至关重要.
- 服务用户和护理提供者之间的价值差异可能会阻碍有效的SDM.
- 不和,未解决的价值差异,是这些互动的一个关键方面.
研究的目的:
- 探讨服务用户在精神病诊所中与护理提供者识别异常的经验.
- 了解精神病治疗中基于价值和观点的差异的性质.
主要方法:
- 使用焦点小组采访 (FGI) 进行的定性研究.
- 六名服务用户参与,他们之前有精神病治疗经验.
- 用专题分析来分析收集的数据.
主要成果:
- 服务用户认为临床康复优先于个人康复.
- 用户认为自我披露的机会受到护理提供者的等级地位的限制.
- 鉴定出了两大不同意的主题.
结论:
- 服务用户价值观 (挑战,自主) 和护理提供者优先事项 (安全,风险管理) 之间存在很大的差距.
- 合作伙伴关系对于调和精神病治疗中相互矛盾的价值观至关重要.
- 在心理健康方面,有效的SDM应该承认并以尊重的方式培养异见,而不仅仅是寻求共识.
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