青少年精神病住院患者对治疗和隔离的看法。

IF 0.3 Q4 PSYCHOLOGY, CLINICAL
Miriam K Yurtbasi, Michael Gordon, Leeanne Fisher, Ric Haslam, Chidambaram Prakash, Bianca Blatchford, Christine Pavlou, Daniel Darmanin, Stephanie Verstandig, Adam Blake, Whitney Cornell, Lauren Cameron, Glenn Melvin
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引用次数: 0

摘要

目的:由于隔离的强制性质以及对住院患者和医务人员的负面影响,青少年精神病住院病房中隔离的使用受到了广泛关注。这项混合方法研究旨在探讨和比较被隔离和未被隔离的青少年住院患者对所接受服务的满意程度以及对隔离的看法:这项研究包括澳大利亚三个青少年精神病住院部的 188 名参与者;其中 17% 的人表示曾有过隔离经历。研究采用了混合方法。参与者在出院前不久或出院时填写了 "消费者满意度问卷-8 "和 "对治疗和隔离的看法问卷"。采用主题分析法对定性数据进行了分析:结果:在《消费者满意度问卷-8》中,被隔离的参与者更有可能报告更广泛的护理体验问题。被隔离者报告了隔离带来的持续负面影响,但与未被隔离者相比,他们更有可能认为隔离是必要的。定性分析显示,隔离患者和非隔离患者都认为隔离是一种创伤,许多人不同意使用隔离:结论:需要改善住院患者与医护人员之间关于隔离的沟通,并在出院期间和出院后持续提供与隔离相关的支持。许多青少年住院患者承认隔离的必要性,同时主张减少隔离。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Adolescent psychiatric inpatients' perceptions of treatment and seclusion.

Objectives: A great deal of attention is being directed at the use of seclusion in adolescent inpatient psychiatric units due to its forceful nature and negative impact on inpatients and staff. This mixed methods study aimed to explore and compare the level of satisfaction with the services received and perspectives on seclusion in secluded and non-secluded adolescent inpatients.Methods: This study included 188 participants, across three adolescent inpatient psychiatric units in Australia; 17% reported having experienced seclusion. A mixed methods approach was employed. Participants completed the Consumer Satisfaction Questionnaire-8 and Perceptions of Treatment and Seclusion Questionnaire shortly before or at discharge. Qualitative data was analysed using thematic analysis.Results: Secluded participants were more likely to report issues with broader care experiences on the Consumer Satisfaction Questionnaire-8. Secluded individuals reported ongoing negative effects from seclusion but were more likely than non-secluded participants to believe seclusion is necessary. Qualitative analyses showed that both secluded and non-secluded individuals considered seclusion to be traumatic, many did not agree with its use.Conclusions: Communication between inpatients and staff regarding seclusion needs to be improved and there needs to be ongoing support in relation to seclusion during and after discharge. Many adolescent inpatients acknowledge the necessity of seclusion whilst advocating for reduced seclusion.

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来源期刊
CiteScore
3.60
自引率
0.00%
发文量
2
期刊介绍: The Journal of Child & Adolescent Mental Health publishes papers that contribute to improving the mental health of children and adolescents, especially those in Africa. Papers from all disciplines are welcome. It covers subjects such as epidemiology, mental health prevention and promotion, psychotherapy, pharmacotherapy, policy and risk behaviour. The journal contains review articles, original research (including brief reports), clinical papers in a "Clinical perspectives" section and book reviews. The Journal is published in association with the South African Association for Child and Adolescent Psychiatry and Allied Professions (SAACAPAP).
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