Journal of Psychiatric and Mental Health Nursing最新文献_第10页

Mental health nurses' attitudes towards consumers with co-existing mental health and drug and alcohol problems: A descriptive study 精神健康护士对同时存在精神健康问题和吸毒酗酒问题的消费者的态度：描述性研究。

IF 2.6 4区医学 Q1 NURSING

Journal of Psychiatric and Mental Health Nursing

Pub Date : 2024-06-04 DOI: 10.1111/jpm.13068

Roopalal Anandan, Wendy M. Cross, Huy Nguyen, Michael Olasoji

<div> <section> <h3> <b>What is known on the subject?</b> </h3> <div> <ul> <li>Dual diagnosis is one of the leading causes of disability globally.</li> <li>There is limited evidence on mental health nurses' attitudes towards consumers with dual diagnosis.</li> </ul> </div> </section> <section> <h3> <b>What does the paper add to existing knowledge?</b> </h3> <div> <ul> <li>Mental health nurses have positive attitudes towards consumers with dual diagnosis.</li> <li>A positive attitude at work is influenced by various factors, including feeling that one's role is appropriate and legitimate. This also includes receiving support in that role, being motivated to work, having confidence in completing tasks and feeling satisfied with one's job.</li> </ul> </div> </section> <section> </section> <section> <h3> Background</h3> <p>Dual diagnosis is a global health concern. This descriptive research assessed mental health nurses' attitudes towards consumers with dual diagnosis in Australian mental health settings. The research question was: What is the attitude of mental health nurses towards consumers with co-existing mental health and drug and alcohol problems?</p> </section> <section> <h3> Materials and Methods</h3> <p>This cross-sectional survey included 103 mental health nurses who work with consumers with dual diagnosis. Participants were recruited from various mental health settings through convenience sampling. The Comorbidity Problems Perceptions Questionnaire was used to assess attitudes. Descriptive data and multiple regression analyses were conducted. We utilized the consensus-based checklist for reporting results of this study.</p> </section> <section> <h3> Results</h3> <p>Mental health nurses positively perceived consumers with dual diagnosis. Factors associated with a positive attitude were a higher level of work experience, feeling that one's role is adequate, perceiving one's role as legitimate, receiving increas

有关该主题的已知情况：双重诊断是导致全球残疾的主要原因之一。有关心理健康护士对双重诊断患者的态度的证据很有限。本文对现有知识有何补充？心理健康护士对双重诊断患者持积极态度。积极的工作态度受多种因素的影响，包括认为自己的角色是适当的、合法的。这还包括在该角色中获得支持、工作积极性、对完成任务有信心以及对工作感到满意。这项描述性研究评估了澳大利亚心理健康机构中心理健康护士对双重诊断患者的态度。研究问题是心理健康护士对同时存在心理健康问题和吸毒、酗酒问题的患者持什么态度？这项横断面调查包括 103 名从事双重诊断工作的心理健康护士。调查对象通过便利抽样从不同的精神卫生机构招募而来。调查使用 "合并症问题认知问卷 "来评估态度。我们进行了描述性数据和多元回归分析。我们使用基于共识的核对表来报告研究结果：结果：心理健康护士对患有双重诊断的患者持积极态度。与积极态度相关的因素有：较高水平的工作经验、感觉自己的角色是适当的、认为自己的角色是合法的、在自己的岗位上得到更多的支持、有较高的工作积极性、拥有较高的任务自尊和较高的工作满意度。工作经验预示着角色适当性。职位预示着角色支持。工作部门预示着与角色相关的自尊：随着心理健康护士工作经验的积累，他们会形成积极的态度，从而增强他们的自尊和对双重诊断患者的重要感。这种建设性的心态也会积极影响她们对双重诊断患者的工作动力和工作满意度。有必要开展干预性研究，以探讨临床经验、工作环境和工作岗位如何影响态度，从而改善心理健康护理对双重诊断患者的干预：研究发现，心理健康护士对双重诊断患者的积极态度受其经验和知识的影响。此外，对自己的角色感到支持、有动力和有信心的心理健康护士更有可能为双重诊断患者提供高质量的护理。如果心理健康护士能采取积极主动的态度，应对与这一群体相关的挑战，就能提供更好的护理和支持。心理健康护士要想在工作中取得成功，就需要从医疗机构获得资源和支持。因此，他们的工作满意度和对双重诊断患者的态度都会得到提升。这样，消费者和医疗机构都将从中受益。

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引用次数: 0

RETRACTION: Reduced self-harm on acute mental health wards following the implementation of a vision-based patient monitoring system: Evidence from five NHS trusts 回放：实施基于视觉的病人监控系统后，急性精神疾病病房的自残现象有所减少：来自五个 NHS 信托机构的证据。

IF 2.6 4区医学 Q1 NURSING

Journal of Psychiatric and Mental Health Nursing

Pub Date : 2024-05-30 DOI: 10.1111/jpm.13067

RETRACTION: M. Kekic, A. Rose, C. Baker, and D. Bayley, ‘Reduced self-harm on acute mental health wards following the implementation of a vision-based patient monitoring system: Evidence from five NHS trusts,’ Journal of Psychiatric and Mental Health Nursing (Early View), https://doi.org/10.1111/jpm.13036.

The above article, published online on 05 March 2024 in Wiley Online Library (wileyonlinelibrary.com), has been retracted by agreement between the journal Editor-in-Chief, Hugh McKenna, and John Wiley & Sons Ltd. The retraction has been agreed due to an undisclosed conflict of interest by the authors, which was reported in a complaint by a third party. Following an investigation, it was confirmed that, while the authors reported their employment status with Oxehealth Ltd. in their personal affiliations section, they failed to do so in a conflict of interest statement as required by the journal. Because the journal uses a double-blind peer review process, neither the names of the authors nor their affiliations were visible to the reviewers and editors during evaluation of the manuscript. Had an employment status disclosure been made clear in a conflict-of-interest statement in accordance with the journal's submission guidelines, the Editor-in-Chief and all associate editors would have considered author employment by Oxehealth Ltd., the developer of the technology evaluated by the authors, as a major competing interest and would have rejected the manuscript without peer review. Therefore, the article must be retracted. Dr. Kekic disagrees with the retraction, on behalf of all the authors.

撤回：M.凯基奇、A.罗斯、C.贝克和 D.贝利，《实施基于视觉的患者监控系统后，急性精神疾病病房的自残现象减少了：来自五个 NHS 信托机构的证据》，《精神病学与精神健康护理杂志》（Early View），https://doi.org/10.1111/jpm.13036。上述文章于 2024 年 3 月 5 日在线发表于 Wiley Online Library (wileyonlinelibrary.com)，经期刊主编休-麦肯纳（Hugh McKenna）和 John Wiley & Sons Ltd.同意，该文章已被撤回。同意撤稿的原因是作者未披露的利益冲突，第三方在投诉中报告了这一情况。经调查证实，虽然作者在个人关系部分报告了他们在 Oxehealth 有限公司的工作情况，但他们没有按照期刊的要求在利益冲突声明中这样做。由于该期刊采用双盲同行评审程序，因此审稿人和编辑在评审稿件时既看不到作者的姓名，也看不到他们的单位。如果按照该期刊的投稿指南，在利益冲突声明中明确披露了作者的就业状况，主编和所有副主编都会认为作者受雇于 Oxehealth 有限公司（作者所评估技术的开发商）属于重大利益冲突，并会在未经同行评审的情况下拒绝该稿件。因此，该文章必须撤回。凯基奇博士代表所有作者不同意撤稿。

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引用次数: 0

Handling conflict situations in psychosis inpatient care: Nursing staff experiences of the Interactive Approach model 处理精神病住院护理中的冲突情况：护理人员对互动方法模式的体验

IF 2.6 4区医学 Q1 NURSING

Journal of Psychiatric and Mental Health Nursing

Pub Date : 2024-05-26 DOI: 10.1111/jpm.13066

Hanna Arturén, Jenny Zetherström, Nils Sjöström, Daniel Abrams, Lena Johansson

<div> <section> <h3> What is known on the subject?</h3> <div> <ul> <li>In inpatient wards, there is a risk that conflicts occur when nursing staff interact with psychotic patients.</li> <li>The Interactive Approach (IA) model is an action-based model, used in psychiatric settings, to manage conflict situations.</li> </ul> </div> </section> <section> <h3> What this paper adds to existing knowledge?</h3> <div> <ul> <li>The IA model can be used to improve communication between nursing staff and patients in numerous critical situations.</li> <li>Using a structured risk scale to evaluate a conflict can be an effective way to guide action and sort out the different aspects of communication between nursing staff and psychotic patients.</li> </ul> </div> </section> <section> <h3> What are the implications for practice?</h3> <div> <ul> <li>The clarity of an action-based model will help sort out which interventions are most likely to succeed in each conflict situation.</li> <li>The IA model highlights the importance of understanding and strengthening the patient's perspective, being flexible for each individual patient, and providing the patient with clear information about the situation.</li> </ul> </div> </section> <section> <section> <h3>4.1 Introduction</h3> <p>The Interactive Approach (IA) model is a structured management tool used to improve communication between caregivers and patients in psychiatric care settings.</p> </section> <section> <h3>4.2 Aim/Question</h3> <p>To examine the nursing staff's experiences of the IA model. How do they use the interventions in conflict situations with psychotic patients?</p> </section> <section> <h3>4.3 Method</h3>

无障碍摘要关于该主题的已知信息有哪些？在住院病房，护理人员与精神病患者互动时有可能发生冲突。互动方法（IA）模式是一种基于行动的模式，用于精神病院管理冲突情况。本文对现有知识有何补充？在许多危急情况下，IA 模式可用于改善护理人员与患者之间的沟通。使用结构化风险量表来评估冲突，可以有效地指导行动，并理清护理人员与精神病患者之间沟通的不同方面。对实践有何意义？以行动为基础的模式的明确性将有助于理清在每种冲突情况下哪些干预措施最有可能取得成功。IA模式强调了理解和加强患者观点的重要性，针对每个患者采取灵活的方式，并向患者提供有关情况的明确信息。目的/问题研究护理人员对 IA 模式的体验。在与精神病患者发生冲突的情况下，他们是如何使用干预措施的？方法从三个精神病住院护理病房招募了护理人员样本（n = 11）。半结构化问题涵盖了护理人员使用 IA 模式中的问题解决干预措施的工作经验。结果界定了三个类别：（1）"采用灵活的方法 "描述了员工如何努力适应每一位患者和每一种情况；（2）"尝试理解患者的内心世界 "描述了积极倾听和探索患者关切的重要性；以及（3）"明确沟通 "涉及明确沟通和建立界限的经验。对实践的启示研究结果强调了教育工作和实际培训对预防暴力和使用强制措施的重要性。

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引用次数: 0

Teaching psychiatric nursing with films during the COVID-19 pandemic: A qualitative study 在 COVID-19 大流行期间用电影教授精神科护理：定性研究。

IF 2.6 4区医学 Q1 NURSING

Journal of Psychiatric and Mental Health Nursing

Pub Date : 2024-05-07 DOI: 10.1111/jpm.13059

Burcu Arkan, Aylin Bostanlı

<div> <section> <h3> What is known on the subject</h3> <div> <ul> <li>Interactive learning environments are known to be among the most effective methods used in education.</li> <li>Some of the interactive methods used in psychiatric nursing education are simulations, group discussions, case studies and video and film presentations. In psychiatric nursing education, cinematic films are among the online methods used.</li> <li>It is known that films used in psychiatric nursing education are useful for understanding mental disorders, the nurse–patient relationship, the roles of the nurse and the therapeutic environment.</li> </ul> </div> </section> <section> <h3> What the paper adds to existing knowledge</h3> <div> <ul> <li>The COVID-19 pandemic deeply affected nursing education, and the difficulties faced gave rise to many new perspectives. After this period, it is of prime importance to update the nursing curriculum and develop new strategies in clinical practice.</li> <li>Teaching with films can help students to understand people's feelings, make sense of them and empathize. This method can have an emotional impact on student nurses and take learning to a deeper level beyond simple theoretical understanding.</li> </ul> </div> </section> <section> <h3> What are the implications for practice</h3> <div> <ul> <li>The findings of the study suggest that teaching through film is an effective method that can be used practically in psychiatric nursing education.</li> <li>Standardizing these practices may be an effective strategy for developing students' professional identity as nurses.</li> <li>This study is focused on undergraduate students, but has implications for nurses in continuing education and professional development of nurses in developing a positive perspective towards psychiatric patients, increasing self-awareness and reducing prejudices.</li> </ul> </div> </section> <sect

关于该主题的已知情况：众所周知，互动学习环境是教育中最有效的方法之一。精神科护理教育中使用的一些互动方法包括模拟、小组讨论、案例研究以及视频和电影演示。在精神科护理教育中，电影是在线使用的方法之一。众所周知，精神科护理教育中使用的电影有助于理解精神障碍、护患关系、护士角色和治疗环境：COVID-19 大流行深深影响了护理教育，所面临的困难催生了许多新观点。在这一时期之后，更新护理课程并在临床实践中制定新的策略至关重要。电影教学可以帮助学生理解人们的感受，使他们感同身受，产生共鸣。这种方法可以对护士学生产生情感上的影响，使学习超越简单的理论理解，进入更深层次：研究结果表明，通过电影进行教学是一种有效的方法，可以在精神科护理教育中实际应用。将这些做法标准化可能是培养学生护士职业认同感的有效策略。本研究的重点是本科生，但对护士的继续教育和专业发展具有启示意义，可培养学生对精神病患者的积极看法，增强自我意识，减少偏见。摘要：引言：COVID-19 大流行影响了生活中的许多领域，并对教育产生了负面影响：本研究调查了在 COVID-19 大流行期间使用电影作为教育方法对精神科护理班学生的影响，探讨了这种方法如何促进学生的理论和临床实践、个人发展以及对精神病患者的看法：本研究采用定性研究设计。研究数据收集自 2022 年 6 月的 15 名护理专业学生。访谈、录音和逐字记录：通过电影进行教育的方法有助于学生更好地理解所教学科的理论知识，掌握分析思考能力，提高对专业护理技能和护理实践的认识。学生们开拓了专业视野，提高了学习积极性：讨论：在精神科护理教育中使用电影是有效和实用的。讨论：在精神科护理教育中使用电影是有效和实用的，规范这些做法可能是培养学生专业护士身份意识的有效策略：对实践的启示：本研究与本科生直接相关，对正在接受继续教育和专业发展的护士也有启示。

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引用次数: 0

Mental health patients' preferences regarding restrictive interventions: An integrative review 精神病患者对限制性干预措施的偏好：综合评述

IF 2.6 4区医学 Q1 NURSING

Journal of Psychiatric and Mental Health Nursing

Pub Date : 2024-05-02 DOI: 10.1111/jpm.13057

Camilla Rosendal Lindekilde, Martin Locht Pedersen, Søren Fryd Birkeland, Jacob Hvidhjelm, John Baker, Frederik Alkier Gildberg

<div> <section> <h3> What is known on the subject?</h3> <div> <ul> <li>The use of restrictive interventions is described as a violation of patients' rights and autonomy. It must only be used as a last resort to manage dangerous behaviour, to prevent or reduce the risk of mental health patients harming themselves or others.</li> <li>International mental health policy and legislation agree that when restrictive interventions are applied, the least restrictive alternative should be chosen.</li> </ul> </div> </section> <section> <h3> What the paper adds to existing knowledge?</h3> <div> <ul> <li>The results are ambiguous, as to which restrictive intervention is preferred over others, but there are tendencies towards the majority preferring observation, with mechanical restraint being the least preferred.</li> <li>To make the experience less intrusive and restrictive, certain factors are preferred, such as a more pleasant and humane seclusion room environment, staff communicating during the application and staff of same gender applying the intervention.</li> </ul> </div> </section> <section> <h3> What are the implications for practice?</h3> <div> <ul> <li>When applying restrictive interventions, mental health professionals should consider environment, communication and duration factors that influence patient preferences, such as the opportunity to keep some personal items in the seclusion room, or, when using restraint, to communicate the reason and explain what is going to happen.</li> <li>More research is needed to clarify patients' preferences regarding restrictive interventions and their views on which are the least restrictive. Preferably, agreement is needed on standard measures, and global use of the same definition of restrictive interventions.</li> </ul> </div> </section> <section> </section> <section> <h3> Introduction</h3> <p>The use of restrictive interventions is a violation of p

无障碍摘要关于该主题的知识有哪些？限制性干预措施的使用被描述为对患者权利和自主权的侵犯。只有在万不得已的情况下，才可以使用限制性干预措施来控制危险行为，防止或减少精神疾病患者伤害自己或他人的风险。国际精神卫生政策和立法都认为，在使用限制性干预措施时，应选择限制性最小的替代方法。本文对现有知识有何补充？对于哪种限制性干预措施比其他干预措施更受欢迎，研究结果并不明确，但大多数人倾向于选择观察，而机械约束是最不受欢迎的。为了减少这种体验的侵扰性和限制性，人们倾向于选择某些因素，例如更舒适、更人道的隔离室环境，工作人员在实施过程中进行交流，以及由同性别的工作人员实施干预措施。对实践有什么影响？在使用限制性干预措施时，精神卫生专业人员应考虑环境、沟通和持续时间等影响患者偏好的因素，例如在隔离室中保留一些私人物品的机会，或者在使用束缚措施时，沟通原因并解释将要发生的事情。需要开展更多研究，以明确病人对限制性干预措施的偏好，以及他们对哪种干预措施限制性最小的看法。最好能就标准措施达成一致，并在全球范围内使用相同的限制性干预定义。摘要导言使用限制性干预措施是对患者权利的侵犯，会对患者造成身体和心理伤害，这在全球范围内都是一个众所周知的挑战。精神卫生法和立法原则以及专家一致认为，在使用限制性干预措施时，应使用限制性最小的替代方法。目的调查有关精神疾病患者在入住精神病院期间对限制性干预措施的偏好的文献。方法根据 PRISMA 声明进行综合综述，并进行主题分析。结果患者倾向于观察，对大多数患者而言，机械约束是最不受欢迎的限制性干预措施。讨论对于如何最好地衡量患者的偏好还缺乏一致意见，这使得选择限制性最小的替代方法变得更加复杂。尽管如此，我们的研究结果表明，在使用限制性干预措施时，工作人员应考虑环境、沟通和持续时间等因素。

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引用次数: 0

A comparative study of old versus novel psychoactive substances on craving, perceived stigma and suicidal risk among rural-dwelling patients with substance abuse 农村居民药物滥用患者对新旧精神活性物质在渴求、耻辱感和自杀风险方面的比较研究。

IF 2.6 4区医学 Q1 NURSING

Journal of Psychiatric and Mental Health Nursing

Pub Date : 2024-04-25 DOI: 10.1111/jpm.13058

Rasha Salah Eweida, Mahmoud Abdelwahab Khedr, Rasha Mohamed Hussein

<div> <section> <h3> What is known on the subject?</h3> <div> <ul> <li>According to recent estimates, 10.4% of adults are patients with substance abuse, which is almost double the global rate.</li> <li>Rural areas are typically marginalized, compounded by a lack of access to mental health care, creating a startling disparity in suffering from drug use issues among rural cohorts.</li> </ul> </div> </section> <section> <h3> What the paper adds to existing knowledge?</h3> <div> <ul> <li>Drawing on data from a descriptive comparative design would provide a distinctive picture related to the similarities and/or differences in relation to craving and how it affects perceived stigma and suicidal risk among patients using old versus novel psychoactive substances.</li> </ul> </div> </section> <section> <h3> What are the implications for practice?</h3> <div> <ul> <li>Substance abuse is a leading public health concern that forces nurses to encompass it into their agendas to tackle this looming problem.</li> <li>Addiction rehabilitation services are frequently run by nurses. They are well-versed in supporting patients during their journey to recovery and enabling them to adjust to a new lifestyle.</li> </ul> </div> </section> <section> </section> <section> <h3> Introduction</h3> <p>Substance use disorder is a leading public health concern that currently, nations regulatory agencies are grappled with. The noticeable difference in the chemical structures between old and novel psychoactive substances can result in significant clinical complications among patients with substance abuse.</p> </section> <section> <h3> Aim</h3> <p>The study aims to compare substance craving, perceived stigma and suicidal risk among patients addicted to old and novel psychoactive substances (NPS).</p> </section> <section> <h3> Method</h3> <p>A descriptive comparative design was adopted on a sample of 105 patients with substance use who completed The Penn Alcohol Craving Scale (PACS), The Perceived Stigm

相关知识：据最新估计，10.4% 的成年人是药物滥用患者，几乎是全球比例的两倍。农村地区是典型的边缘化地区，再加上缺乏心理健康护理，造成了农村群体在药物滥用问题上的惊人差异。本文对现有知识有何补充？利用描述性比较设计中的数据，可以提供一幅独特的图画，说明渴求的相似性和/或差异，以及它如何影响使用旧式和新型精神活性物质的患者的耻辱感和自杀风险。对实践的启示：药物滥用是一个主要的公共卫生问题，迫使护士将其纳入自己的议程，以解决这一迫在眉睫的问题。戒毒康复服务通常由护士负责。他们精通在患者康复过程中为其提供支持，使其能够适应新的生活方式。ABSTRACT 简介：药物滥用障碍是一个主要的公共健康问题，目前各国监管机构都在努力解决这一问题。旧式和新型精神活性物质在化学结构上的明显差异会导致药物滥用患者出现严重的临床并发症。研究目的：本研究旨在比较旧式和新型精神活性物质（NPS）成瘾患者的药物渴求、感知耻辱感和自杀风险。方法采用描述性比较设计，抽样调查了 105 名药物滥用患者，他们填写了宾州酒精渴求量表（PACS）、成瘾感知耻辱量表（PSAS）和自杀可能性量表（SPS）。与旧成瘾物质组（20.6 ± 4.2）相比，新成瘾物质组（23.4 ± 5.3）的耻辱感与旧成瘾物质组（20.6 ± 4.2）有明显的统计学差异（t = 3.037，p = .003）。应根据所使用药物的类型和潜在风险因素制定相应的政策和措施，以避免药物滥用患者自杀。

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引用次数: 0

Pregnancy in the shadow of psychosis: Navigating first-time motherhood with increased likelihood of postpartum psychosis and postnatal depression 在精神病阴影下怀孕：初为人母，患产后精神病和产后抑郁症的可能性增加

IF 2.6 4区医学 Q1 NURSING

Journal of Psychiatric and Mental Health Nursing

Pub Date : 2024-04-17 DOI: 10.1111/jpm.13051

Alison Walsh

<div> <section> <h3> What is known on the subject?</h3> <div> <ul> <li>New parents who have previously experienced psychosis outside and/or following childbirth have an increased likelihood of experiencing an episode during the postpartum period.</li> <li>The decision to try to conceive can be agonising.</li> <li>Receiving care from a specialist perinatal community mental health team can improve outcomes.</li> </ul> </div> </section> <section> <h3> What does this paper add to existing knowledge?</h3> <div> <ul> <li>This article offers a first-person insight into the steps the author took to minimise the impact of an episode of postpartum psychosis and/or postnatal depression whilst navigating new motherhood.</li> </ul> </div> </section> <section> <h3> What are the implications for practice?</h3> <div> <ul> <li>This lived experience narrative aligns with the evidence base that demonstrates specialist perinatal community mental health services improve outcomes.</li> <li>It highlights the importance of maternity care providers asking about mental health history to identify any previous episodes or family history and offering referral to a specialist perinatal mental health service if available.</li> </ul> </div> </section> <section> <section> <h3>4.1 Introduction</h3> <p>Postpartum psychosis is a life-changing but treatable condition that usually occurs in the first few days to weeks after childbirth affecting 1–2 in 1000 pregnancies. Those who have experienced psychosis before, either as a single episode, related or unrelated to childbirth or as part of a long-term mental health condition have a higher likelihood of experiencing an episode in the postnatal period.</p> </section> <section> <h3>4.2 Aim</h3> <p>In this lived experience narrative the author shares personal experience of planning and navigating pregnancy with a higher likelihood of experiencing postpartum psychosis and postnatal depression around this major life transition due to previous episodes.</p>

无障碍摘要目前对这一主题了解多少？曾在产外和/或产后经历过精神病的新父母在产后期间经历精神病发作的可能性会增加。尝试怀孕的决定可能会令人痛苦不堪。接受围产期社区精神健康专家团队的治疗可以改善结果。本文对现有知识有何补充？本文以第一人称的视角，介绍了作者在初为人母的过程中，为最大限度地减少产后精神病和/或产后抑郁症发作的影响而采取的措施。对实践有何意义？这一亲身经历的叙述与围产期社区心理健康专科服务可改善结果的证据基础相吻合。它强调了孕产妇保健提供者询问心理健康史的重要性，以确定任何既往发作或家族史，并在有条件的情况下提供转诊至专业围产期心理健康服务。摘要导言产后精神病是一种改变生活但可以治疗的疾病，通常发生在分娩后的头几天至几周，每 1000 例妊娠中就有 1-2 例会受到影响。在这篇亲身经历叙事中，作者分享了自己在计划和度过怀孕期时的个人经历，在这一重大的人生转折期，由于之前的经历，出现产后精神病和产后抑郁症的可能性较高。研究结果作者分享了她接受护理的经历，以及在这一人生重大转折时期，她为努力控制怀孕和分娩对其心理健康的影响而采取的一些措施。她描述了专业的围产期社区心理健康团队提供的护理和同伴支持是如何极大地促进了她的家庭幸福的。讨论专业的围产期社区心理健康服务可以通过促进规划和降低一些可能导致围产期复发的风险，从而改善那些更有可能经历产后精神病和产后抑郁症的人的治疗效果。

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引用次数: 0

Nurses' self-care at work 护士在工作中的自我保健

IF 2.6 4区医学 Q1 NURSING

Journal of Psychiatric and Mental Health Nursing

Pub Date : 2024-04-16 DOI: 10.1111/jpm.13056

Pamela Olszko

引用次数: 0

The influence of psychotherapy on individuals who have attempted suicide: A systematic review and meta-analysis 心理治疗对自杀未遂者的影响：系统回顾与荟萃分析

IF 2.6 4区医学 Q1 NURSING

Journal of Psychiatric and Mental Health Nursing

Pub Date : 2024-04-15 DOI: 10.1111/jpm.13055

Xinqing Xu, Jingjing Song, Liping Jia

Introduction

Suicide is a serious global public health issue, and a history of attempted suicide is the most critical indicator of suicide risk. There are limited studies on the effectiveness of psychotherapy in individuals who have attempted suicide, and other outcome measures related to suicide risk in suicide attempts have not been explored.

Aim/Question

This study aimed to systematically review and perform a meta-analysis of the effectiveness of psychotherapy on individuals who have attempted suicide.

Methods

This study conducted a comprehensive literature search of five major databases (PubMed, EMBASE, Cochrane, Web of Science, and Ovid). The protocol for this study is registered with PROSPERO (CRD42023464401) and follows the PRISMA guidelines.

Results

This meta-analysis included a total of 34 trials from 32 literature sources. The study involved a total of 6600 participants. The results showed that psychotherapy had a positive effect on reducing the suicidal tendencies of individuals who have attempted suicide and effectively reduced the number of repeated suicide attempts as well as the levels of suicidal ideation, depression, anxiety and hopelessness.

Implications for Practice

This study concludes that psychotherapy is effective in reducing the suicidal tendencies of individuals who have attempted suicide. Psychological therapy for individuals who have attempted suicide are crucial in preventing future suicidal behaviours.

导言自杀是一个严重的全球性公共卫生问题，而自杀未遂史是自杀风险的最关键指标。关于心理治疗对自杀未遂者的有效性的研究十分有限，而与自杀未遂者自杀风险相关的其他结果测量指标也尚未得到探讨。本研究的方案已在 PROSPERO（CRD42023464401）注册，并遵循了 PRISMA 准则。研究共涉及 6600 名参与者。结果表明，心理治疗对减少自杀未遂者的自杀倾向有积极作用，并能有效减少自杀未遂者重复自杀的次数以及自杀意念、抑郁、焦虑和绝望的程度。对自杀未遂者进行心理治疗对于预防未来的自杀行为至关重要。

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引用次数: 0

The association between the Police, Ambulance, Clinician Early Response model and involuntary detentions of people living with mental illness: A retrospective observational study 警察、救护车、临床医生早期响应模式与非自愿拘留精神病患者之间的关联：回顾性观察研究

IF 2.6 4区医学 Q1 NURSING

Journal of Psychiatric and Mental Health Nursing

Pub Date : 2024-04-03 DOI: 10.1111/jpm.13053

Julia Heffernan, Amy Pennay, Xia Li, Richard Gray

<div> <section> <h3> What is known on the subject?</h3> <div> <ul> <li>Involuntary detention is a legislative power that allows people to be taken against their will for a mandatory mental health assessment and is known to be a restrictive and traumatizing process for patients.</li> <li>While there is some literature examining police/ambulance and mental health worker co-response models, the conclusions are mixed as to whether they reduce rates of involuntary detentions in mentally ill people.</li> <li>The Police, Ambulance, Clinician Early Response (PACER) model is an example of a tri-response mental health crisis response team whose role is to respond and assess people thought to be experiencing a mental health crisis.</li> <li>There is little literature to determine whether PACER tri-response model reduces incidents of involuntary detention when compared with standard police and/or ambulance responses.</li> </ul> </div> </section> <section> <h3> What this paper adds to existing knowledge?</h3> <div> <ul> <li>This paper describes the outcomes of patients assessed by a PACER team, compared with patients who were assessed by police or ambulance.</li> <li>It demonstrates that PACER may reduce unnecessary involuntary detentions through expert mental health assessment for patients coming to emergency services for assistance. It is one of only two published studies examining a tri-response model.</li> </ul> </div> </section> <section> <h3> What are the implications for practice?</h3> <div> <ul> <li>The results of this study may support health and policing policymakers to implement PACER models as a means of reducing involuntary detentions, reducing demand for emergency departments, reducing time spent by emergency services responding to people experiencing mental health crisis and improving outcomes for people with mental illness.</li> </ul> </div> </section> <section> </section> <section

非自愿拘留是强制进行心理健康评估和治疗的常用方法；然而，它与患者的不良治疗效果以及对急诊服务和医院的高需求有关。

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引用次数: 0