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Positive mental health, depression and burnout in healthcare workers during the second wave of COVID-19 pandemic 第二波 COVID-19 大流行期间医护人员的积极心理健康、抑郁和职业倦怠。
IF 2.6 4区 医学 Q1 NURSING Pub Date : 2024-08-19 DOI: 10.1111/jpm.13099
Chiara Ruini, Giorgio Li Pira, Erika Cordella, Francesca Vescovelli
<div> <section> <h3> What is known on the subject?</h3> <div> <ul> <li>In the past 2 years, the COVID-19 pandemic had a robust negative impact on the mental health of healthcare providers, with increasing rates of depression, anxiety, acute stress and burnout.</li> <li>Healthcare workers experiencing poor mental health are reluctant to seek help and treatment because they are afraid of being stigmatized and excluded by their colleagues and employers.</li> <li>During the pandemic positive emotions, resilience and psychological well-being buffered distress and burnout in healthcare workers.</li> </ul> </div> </section> <section> <h3> What this paper adds to existing knowledge?</h3> <div> <ul> <li>This paper describes positive mental health, depression, anxiety and burnout in healthcare workers during the second wave of the pandemic.</li> <li>Forty-eight per cent of healthcare workers were flourishing (high levels of positive emotions and well-being), 10% languishing (absence of well-being and positivity).</li> <li>Flourishing individuals reported lower levels of depression, anxiety and burnout.</li> <li>These findings documented a relevant number of resilient healthcare workers, who restored/maintained their well-being also under stressful conditions.</li> <li>Vulnerable healthcare workers were less than 20%, and they reported severe anxiety, depression and burnout.</li> <li>No differences emerged between languishing and moderate mental health groups in their levels of anxiety, depression and burnout.</li> </ul> </div> </section> <section> <h3> What are the implications for practice?</h3> <div> <ul> <li>The condition of flourishing is the only one that provides protection from depression and anxiety and burnout, while moderate mental health does not differ substantially from the languishing state.</li>
有关该主题的已知情况:在过去两年中,COVID-19 大流行对医疗保健提供者的心理健康产生了严重的负面影响,抑郁、焦虑、严重压力和职业倦怠的发生率不断上升。心理健康状况不佳的医护人员不愿寻求帮助和治疗,因为他们害怕被同事和雇主耻笑和排斥。在大流行病期间,积极情绪、复原力和心理健康对医护人员的痛苦和职业倦怠起到了缓冲作用。本文对现有知识有何补充?本文描述了大流行第二波期间医护人员的积极心理健康、抑郁、焦虑和职业倦怠。48%的医护人员精神饱满(积极情绪和幸福感较高),10%的医护人员精神萎靡(缺乏幸福感和积极性)。表现出色的人报告的抑郁、焦虑和职业倦怠程度较低。这些研究结果表明,有相当数量的医护人员具有抗压能力,他们在压力条件下也能恢复/保持身心健康。脆弱的医护人员不到 20%,他们报告了严重的焦虑、抑郁和职业倦怠。在焦虑、抑郁和职业倦怠程度方面,无精打采组和中等心理健康组之间没有差异。这对实践有何意义?欣欣向荣的状态是唯一一种可以避免抑郁、焦虑和职业倦怠的状态,而中等心理健康状态与无精打采的状态没有本质区别。这项研究证实了保持和/或促进医护人员身心健康的重要性。需要采取干预措施,促进弱势工作者的积极心理健康。心理健康护士可以掌握评估心理困扰早期症状以及实施干预措施以促进和恢复健康的技能和专业知识。这些干预措施可包括信息宣传活动(即编写和分发小册子和指南)和情感支持计划(心理教育和培训、心理健康支持团队、同伴支持和咨询),也可通过数字平台提供。摘要:引言:很少有研究关注医护人员的积极心理健康(即高水平的心理健康)及其与第二波大流行病中的焦虑、抑郁和职业倦怠的关联:我们对 173 名意大利医护人员进行了心理困扰(抑郁焦虑压力量表 [DASS]-21)、职业倦怠(哥本哈根倦怠量表 [CBI])和积极心理健康(心理健康连续体)指标评估,并根据他们的心理健康水平(精神健康状况良好、无精打采和中等)以及焦虑、抑郁和职业倦怠水平对他们进行了交叉分类:结果:48%的医务工作者被归类为精神健康状况良好,10%被归类为精神健康状况欠佳,42%被归类为精神健康状况中等。精神健康状况良好者在 DASS 和 CBI 量表上的得分较低,而精神健康状况不佳者和精神健康状况中等者之间没有差异。超过 80% 的医务工作者在临床上有明显的焦虑、抑郁症状,并有职业倦怠的风险:讨论:这项调查记录了近一半的意大利医护人员心理健康状况良好。对实践的启示:这项研究证实了维护和/或促进这一人群健康的重要性,心理健康护士在其中扮演着至关重要的角色,当他们面临不利的工作条件时,可以很容易地接近其他医护人员,并为他们提供信息(培训、指南)和情感支持计划(心理教育、心理健康支持团队、同伴支持和咨询)。
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引用次数: 0
A qualitative study of hermeneutic analysis in individuals with schizophrenia, psychiatrists and psychiatric nurses writings on selected narratives 对精神分裂症患者、精神科医生和精神科护士撰写的精选叙事进行诠释学分析的定性研究。
IF 2.6 4区 医学 Q1 NURSING Pub Date : 2024-08-16 DOI: 10.1111/jpm.13098
Burcu Canar, Duygu Hiçdurmaz, Emre Mutlu, Arda Bağcaz
<div> <section> <h3> What is known on the subject?</h3> <div> <ul> <li>In daily psychiatric practice, understanding individuals often involves formulating the clinical case, which may lead to viewing them solely as symptoms to be solved. Consequently, it can be challenging to see the individual beyond their symptoms. However, trying to understand the individual by his/her writings about narratives can offer broader perspectives and extend beyond being a medium for patients to express their experiences. On understanding writing, hermeneutics will be a resourceful method.</li> </ul> </div> </section> <section> <h3> What the paper adds to existing knowledge?</h3> <div> <ul> <li>This study aims to propose a reevaluation of the nature of therapeutic communication among individuals with schizophrenia, psychiatrists, and psychiatric nurses by interpreting their writings on the same written narratives through a hermeneutic analysis. Our study has unique features compared to previous studies on communication between mental health professionals and patients. We directly investigated the act of understanding through the writings of the three groups of participants. The participants were also engaged in reading and writing about the narratives instead of relying on clinical interviews or self-report questionnaires. To the best of our knowledge, our study is the first hermeneutic study to examine the nature of reflection while all three groups encounter the same narratives as readers.</li> </ul> </div> </section> <section> <h3> implications for practice?</h3> <div> <ul> <li>The results point to the need for psychiatrists/psychiatric nurses to develop new perspectives and skills in understanding/interacting with individuals with schizophrenia. Our study could be a pioneer sample in applying hermeneutics as a prevailing method to mental health nursing practice.</li> </ul> </div> </section> <section> </section> <section> <h3> Introduction</h3> <p>Understanding individuals with schizophrenia is an essential but challenging phenomenon in psychiatry.</p> </section>
在日常的精神病治疗实践中,对个体的理解往往涉及到临床病例的制定,这可能会导致将个体仅仅视为需要解决的症状。因此,要想超越症状来看待个体是很有挑战性的。然而,试图通过患者的书写叙事来理解个人,可以提供更广阔的视角,并超越作为患者表达其经历的媒介。在理解写作方面,诠释学将是一种有用的方法。本文对现有知识有何补充?本研究旨在通过诠释学分析法解读精神分裂症患者、精神科医生和精神科护士对同一书面叙事的写作,从而对他们之间的治疗沟通性质提出重新评估。与以往有关精神卫生专业人员与患者之间沟通的研究相比,我们的研究具有独特之处。我们通过三组参与者的文章直接调查了理解行为。参与者还参与了阅读和撰写叙事,而不是依赖于临床访谈或自我报告问卷。据我们所知,我们的研究是第一项诠释学研究,它考察了三组参与者作为读者在阅读相同叙事时的反思性质。对实践的影响研究结果表明,精神科医生/精神科护士在理解/与精神分裂症患者互动时需要发展新的视角和技能。我们的研究可以成为将诠释学作为一种普遍方法应用于精神健康护理实践的先驱样本。摘要:引言:理解精神分裂症患者是精神病学中一个必不可少但又极具挑战性的现象:本研究通过诠释学分析法解读精神分裂症患者、精神科医生和精神科护士对同一书面叙事的撰写,重新评估他们之间治疗沟通的性质:本研究采用诠释学分析的定性描述方法,参与者阅读五篇叙事,写下他们对每篇叙事的看法,并回答九个问题,以表达自己的个人写作经历:结果:每个小组的参与者都既是 "读者 "又是 "作者",他们根据自己的阅读感受改写了所选的五篇短篇叙事。改写 "一词指的是本研究中参与者和研究人员的阅读行为和书面解释。精神分裂症患者在阅读和写作时主要关注文本(叙事),而精神科医生和精神科护士在解释时则倾向于关注读者(自己):讨论:尽管阅读应被视为一个发现的过程,而不仅仅是寻求预先确定的知识,但精神科医生和精神科护士在阅读叙事时却将作者视为病人或疾病的征兆:研究结果表明,精神科医生/精神科护士在理解精神分裂症患者并与之互动时,需要发展新的视角和技能。
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引用次数: 0
The resilience mediation effect on the relationship of suicide risk and psychological pain in nursing students: Structural equation modelling 护生自杀风险与心理痛苦关系的复原力中介效应:结构方程模型
IF 2.6 4区 医学 Q1 NURSING Pub Date : 2024-08-16 DOI: 10.1111/jpm.13097
Zeliha Özkan, Dudu Karakaya
<div> <section> <h3> What is known on the subject?</h3> <div> <ul> <li>Suicide is an important health problem that has been common all over the world in recent years.</li> <li>Nursing students are a high-risk group for suicide.</li> <li>Factors affecting suicide risk should be investigated and included in psychiatric nursing interventions.</li> <li>Psychological pain is a predisposing condition for suicide risk.</li> <li>Studies focus on the relationship between suicide risk and psychological pain. Studies examining the moderator factors affecting this relationship are limited.</li> </ul> </div> </section> <section> <h3> What the paper adds to existing knowledge?</h3> <div> <ul> <li>By means of the structural equation model, the effect of resilience mediation on the relationship of suicide risk and psychological pain has been shown.</li> <li>In the process of going from psychological pain to suicide, resilience takes on a buffer function with its mediating effect, and this process can be prevented by the development of resilience.</li> </ul> </div> </section> <section> <h3> What are the implications for practice?</h3> <div> <ul> <li>Resilience can be added as a protective factor for suicide to the practices of psychiatric nursing.</li> <li>Initiatives to strengthen resilience can be added to psychiatric nursing practices. In this way, psychological pain and the risk of suicide can be reduced by strengthening resilience.</li> <li>Psychological pain can be added as a risk factor for suicide to the practices of psychiatric nursing.</li> <li>Within the scope of psychiatric nursing practices, nursing interventions can be structured to assess and reduce psychological pain.</li> <li>Interventions on strat
有关该主题的已知情况:自杀是近年来全世界普遍存在的一个重要健康问题。护理专业学生是自杀的高危人群。应调查影响自杀风险的因素,并将其纳入精神科护理干预措施。心理痛苦是自杀风险的易感条件。研究重点是自杀风险与心理痛苦之间的关系。对影响这种关系的调节因素的研究还很有限。本论文对现有知识的补充:通过结构方程模型,显示了复原力中介对自杀风险与心理痛苦关系的影响。在从心理痛苦到自杀的过程中,抗逆力通过其中介效应发挥了缓冲作用,而这一过程可以通过抗逆力的发展加以预防。这对实践有何意义?抗逆力可以作为自杀的保护因素加入精神科护理实践中。可以在精神科护理实践中增加加强复原力的措施。这样,就可以通过加强复原力来减少心理痛苦和自杀风险。可在精神科护理实践中加入心理痛苦这一自杀风险因素。在精神科护理实践的范围内,可以组织护理干预,以评估和减少心理痛苦。在为护理专业学生制定的自杀预防计划中,可以增加有关管理和应对心理痛苦的策略以及加强复原力的干预措施。摘要:引言:护理专业学生是自杀的高危人群。目的:本研究旨在探讨抗逆力在护生自杀风险与心理痛苦关系中的中介效应:这项横断面研究于 2021 年 3 月至 5 月间进行,共有 619 名阿克登尼兹大学护理学院的学生参加。研究采用描述性信息表、自杀概率量表、心理痛苦量表和简易复原力量表收集数据。采用结构方程模型法研究抗逆力对自杀风险和心理痛苦之间关系的中介效应,并进行了路径分析。研究报告根据 STROBE 进行:结果:抗逆力在心理痛苦与自杀风险之间存在半中介效应,效应大小为0.57:讨论:在精神科护理实践中,抗挫折能力可被视为预防自杀的保护因素:结论:复原力对心理痛苦与自杀风险之间的关系有影响:本研究的结果可指导精神科护理实践减少和预防自杀风险。
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引用次数: 0
Caregiver burden during psychiatric hospitalisation: A multi-centre, longitudinal study 精神病住院期间照顾者的负担:一项多中心纵向研究。
IF 2.6 4区 医学 Q1 NURSING Pub Date : 2024-08-12 DOI: 10.1111/jpm.13094
Palmyre Schenin-King Andrianisaina, Marie-Carmen Castillo, Gabrielle Barlagne, Ernestine Noumbi, Alex Motut, Virginie Moulier, Fanny Thomas, Clarisse Corcuff, Christine Delattre-Odobey, Pricilla Janot-Sautron, Anne-Paula Prouheze, Isabelle Chesneau, Dominique Januel, Clémence Isaac
<div> <section> <h3> What is known about the subject</h3> <div> <ul> <li>Caring for a family member with a mental illness induces a burden on the caregiver, an impact on their quality of life and premature ageing of more than ten years.</li> </ul> </div> </section> <section> <h3> What the paper adds to existing knowledge</h3> <div> <ul> <li>We conducted systematised and individualised nursing interviews with family members, on the first days of a relative’s hospitalisation, during hospitalisation and three months after discharge.</li> <li>We observed persistent depressive symptoms during and after hospitalisation. Burden and depression were higher, and quality of life was lower, for women caregivers and when the caregivers admitted the patients involuntarily in the hospital ward. When the caregivers were experiencing a patient’s first hospitalisation, we also found higher depressive symptoms and lower quality of life.</li> </ul> </div> </section> <section> <h3> What are the implications for practice</h3> <div> <ul> <li>This study emphasises the need for new interventions such as psychoeducation to alleviate the suffering of families. Considering the burden of families could become a prevention objective from the patient’s first hospitalisation and prevent them from mental or physical health problems.</li> </ul> </div> </section> <section> <section> <h3>4.1 Introduction</h3> <p>The burden consequent to providing care to patients with psychiatric chronic conditions is often overlooked by health professionals.</p> </section> <section> <h3>4.2 Aim</h3> <p>We assessed the impact of patients' psychiatric hospitalisation on their caregivers, through evaluating their suffering, burden and quality of life, in three stages: upon the patients' admission, their discharge and 3 months after their discharge.</p> </section> <section> <h3>4.3 Method</h3> <p>In total, 127 caregivers of adult patients whose first hospitalisation was less than 5 years ago were assessed using the 36-item Short
对该主题的了解:本文对现有知识的补充:我们在亲属住院的最初几天、住院期间和出院后三个月对其家庭成员进行了系统化和个性化的护理访谈。我们观察到住院期间和出院后持续存在抑郁症状。女性护理人员的负担和抑郁症状更重,而生活质量则更低。当护理人员第一次经历患者住院时,我们还发现抑郁症状较重,生活质量较低:这项研究强调,有必要采取新的干预措施,如心理教育,以减轻家庭的痛苦。考虑到家庭的负担,可以从患者首次住院开始就将其作为预防目标,防止他们出现精神或身体健康问题。目的 我们从患者入院时、出院时和出院后 3 个月这三个阶段,通过评估护理人员的痛苦、负担和生活质量,来评估精神病患者住院对其护理人员的影响。方法 使用 36 项短式健康调查、Zarit 负担访谈和流行病学研究中心抑郁量表,对首次住院不到 5 年的成年患者的 127 名护理人员进行了评估。结果 违背患者意愿收治其入院的女性和护理人员的负担和抑郁程度较高,精神生活质量较低。我们还发现,在患者首次住院期间,护理人员的抑郁症状较重,生活质量较低。护理者与患者的家庭关系与这些结果无关。最后,随着时间的推移,照顾者的负担减轻,生活质量提高。讨论 结果表明,与患者住院相关的几个变量与负担、抑郁或生活质量有关。对实践的启示 在患者住院期间或住院后,可针对患者的负担采取干预措施,如对护理人员进行集体心理教育,以减轻他们的痛苦,提高他们的生活质量。精神科和心理健康护士可以通过对照顾者的负担和生活质量进行系统评估,为他们提供支持,从而更好地满足他们的需求,提高他们应对精神疾病的能力。
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引用次数: 0
In the shadows of OCD: Jordanian patients' experiences during the COVID-19 quarantine 强迫症的阴影:约旦患者在 COVID-19 隔离期间的经历。
IF 2.6 4区 医学 Q1 NURSING Pub Date : 2024-08-08 DOI: 10.1111/jpm.13096
Mai Abdullah A. L. Momani, Maysoon S. Abdalrahim, Noordeen Shoqirat, Ruqayya S. Zeilani, Latefa Ali Dardas
<div> <section> <h3> What Is Known on the Subject?</h3> <div> <ul> <li>The COVID-19 pandemic has brought new sources of stress and challenges for people dealing with obsessive compulsive disorder (OCD).</li> </ul> </div> </section> <section> <h3> What the Paper Adds to Existing Knowledge?</h3> <div> <ul> <li>The study uncovered the unique experiences of Jordanian patients with OCD during the COVID-19 pandemic, revealing three main themes: Navigating Constraints: The Dual Pathways of Social Engagement and Avoidance, estranging family attachments and shifting OCD landscapes.</li> <li>Family dynamics played a significant role, with some families unintentionally exacerbating OCD symptoms through excessive accommodation, while others openly expressed irritation, both contributing to worsened symptoms.</li> <li>The research unveiled a notable deficiency in the availability of professional mental health support for individuals with OCD throughout the pandemic.</li> </ul> </div> </section> <section> <h3> What Are the Implications for Practice?</h3> <div> <ul> <li>Accessible and culturally appropriate e-mental health interventions can bridge the gap in mental health support, especially during crises like the pandemic.</li> <li>It is crucial to involve family members in the treatment process to address family dynamics that may either support or hinder recovery among patients with OCD.</li> </ul> </div> </section> <section> </section> <section> <h3> Introduction</h3> <p>Pandemics, like COVID-19, can significantly harm the mental well-being and overall quality of life for individuals and their families. Those with pre-existing mental conditions, especially obsessive compulsive disorder (OCD), are more vulnerable to negative psychosocial effects since the fear of being infected or transmitting infection to others are some of the main characteristics of the illness. There is a need for a nuanced understanding of the personal, social and cultural experiences of people with OCD within their specific psychosocial context.</p> </section> <section>
相关知识:COVID-19 的流行给强迫症患者带来了新的压力和挑战。本文对现有知识有何补充?研究揭示了约旦强迫症患者在 COVID-19 大流行期间的独特经历,揭示了三个主要主题:克服制约因素:社会参与和回避的双重途径》、《疏远的家庭依恋》和《不断变化的强迫症景观》。家庭动态在其中发挥了重要作用,一些家庭通过过度迁就无意中加剧了强迫症症状,而另一些家庭则公开表示恼怒,这两种情况都导致了症状的恶化。研究发现,在整个大流行期间,强迫症患者在获得专业心理健康支持方面存在明显不足。这对实践有何意义?可获得的、文化上适当的电子心理健康干预可以弥补心理健康支持方面的不足,尤其是在大流行病这样的危机期间。让家庭成员参与治疗过程,以解决可能支持或阻碍强迫症患者康复的家庭动态问题,这一点至关重要。已有精神疾病的患者,尤其是强迫症患者,更容易受到负面的社会心理影响,因为害怕被感染或传染给他人是这种疾病的一些主要特征。有必要对强迫症患者在其特定社会心理背景下的个人、社会和文化经历进行细致入微的了解。目的:探讨约旦强迫症患者在 COVID-19 期间是如何体验其疾病的:方法:采用描述性现象学设计,对 12 名被诊断为强迫症并伴有不同类型强迫症症状的患者进行半结构化访谈。对数据进行了主题分析,并根据定性研究的批判性评估技能计划(CASP)清单进行了报告:结果:出现了三大主题:(1) 克服制约因素:社会参与和回避的双重途径(通过社会交往寻求慰藉,将隔离作为回避社会的机会);(2) 疏远的家庭依恋(加强亲近感,在亲密关系中挣扎);(3) 强迫症景观的转变(转变现有强迫症,逃避新的强迫症)。访谈记录显示,在整个大流行病期间,患者完全没有提及接受过专业的心理健康支持:本研究与之前的研究结果一致,表明在大流行期间,强迫症的严重程度因令人沮丧的消息和卫生措施的加强而激增。值得注意的是,该研究强调了家庭关系的压力,一些病例显示出保护作用,但许多病例则显示出由于家庭过度迁就而导致症状恶化。大流行期间缺乏专业的心理健康支持,使人们对约旦心理健康服务的质量和可及性产生了疑问:研究结果强调了持续提供心理健康支持和干预的必要性,尤其是在压力和孤独感加剧的时期。整合电子心理健康资源和文化适应可以在为强迫症患者(包括约旦阿拉伯文化中的患者)提供方便有效的支持方面发挥重要作用。在我们应对未来挑战的过程中,必须优先考虑强迫症患者的福祉,并确保他们能够获得适当的、量身定制的心理健康服务。
{"title":"In the shadows of OCD: Jordanian patients' experiences during the COVID-19 quarantine","authors":"Mai Abdullah A. L. Momani,&nbsp;Maysoon S. Abdalrahim,&nbsp;Noordeen Shoqirat,&nbsp;Ruqayya S. Zeilani,&nbsp;Latefa Ali Dardas","doi":"10.1111/jpm.13096","DOIUrl":"10.1111/jpm.13096","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; What Is Known on the Subject?&lt;/h3&gt;\u0000 \u0000 &lt;div&gt;\u0000 \u0000 &lt;ul&gt;\u0000 \u0000 \u0000 &lt;li&gt;The COVID-19 pandemic has brought new sources of stress and challenges for people dealing with obsessive compulsive disorder (OCD).&lt;/li&gt;\u0000 &lt;/ul&gt;\u0000 &lt;/div&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; What the Paper Adds to Existing Knowledge?&lt;/h3&gt;\u0000 \u0000 &lt;div&gt;\u0000 \u0000 &lt;ul&gt;\u0000 \u0000 \u0000 &lt;li&gt;The study uncovered the unique experiences of Jordanian patients with OCD during the COVID-19 pandemic, revealing three main themes: Navigating Constraints: The Dual Pathways of Social Engagement and Avoidance, estranging family attachments and shifting OCD landscapes.&lt;/li&gt;\u0000 \u0000 \u0000 &lt;li&gt;Family dynamics played a significant role, with some families unintentionally exacerbating OCD symptoms through excessive accommodation, while others openly expressed irritation, both contributing to worsened symptoms.&lt;/li&gt;\u0000 \u0000 \u0000 &lt;li&gt;The research unveiled a notable deficiency in the availability of professional mental health support for individuals with OCD throughout the pandemic.&lt;/li&gt;\u0000 &lt;/ul&gt;\u0000 &lt;/div&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; What Are the Implications for Practice?&lt;/h3&gt;\u0000 \u0000 &lt;div&gt;\u0000 \u0000 &lt;ul&gt;\u0000 \u0000 \u0000 &lt;li&gt;Accessible and culturally appropriate e-mental health interventions can bridge the gap in mental health support, especially during crises like the pandemic.&lt;/li&gt;\u0000 \u0000 \u0000 &lt;li&gt;It is crucial to involve family members in the treatment process to address family dynamics that may either support or hinder recovery among patients with OCD.&lt;/li&gt;\u0000 &lt;/ul&gt;\u0000 &lt;/div&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Introduction&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Pandemics, like COVID-19, can significantly harm the mental well-being and overall quality of life for individuals and their families. Those with pre-existing mental conditions, especially obsessive compulsive disorder (OCD), are more vulnerable to negative psychosocial effects since the fear of being infected or transmitting infection to others are some of the main characteristics of the illness. There is a need for a nuanced understanding of the personal, social and cultural experiences of people with OCD within their specific psychosocial context.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 ","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"32 1","pages":"152-160"},"PeriodicalIF":2.6,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Non-traditional mental health clinical placements: An effective means for reducing self-stigma in pre-registration nursing students 非传统的心理健康临床实习:减少注册前护理专业学生自我污名化的有效手段。
IF 2.6 4区 医学 Q1 NURSING Pub Date : 2024-08-08 DOI: 10.1111/jpm.13093
Christopher Patterson, Michelle Roberts, Taylor Yousiph, Georgia Robson, Kelly Lewer, Elissa-Kate Jay, Lorna Moxham
<div> <section> <h3> What Is Known on the Subject</h3> <div> <ul> <li>Pre-registration nursing students report high rates of stigma, leading to low help-seeking attitudes when seeking help for mental health issues.</li> <li>Traditional mental health clinical placements can improve stigma related to attitudes and social distance for pre-registration nursing students.</li> </ul> </div> </section> <section> <h3> What the Paper Adds to Existing Knowledge</h3> <div> <ul> <li>There are nil recorded clinical placement interventions that have decreased self-stigma for pre-registration nursing students, with this study highlighting a clinical placement model that is effective in significantly decreasing self-stigma.</li> </ul> </div> </section> <section> <h3> Implications for Practice</h3> <div> <ul> <li>The knowledge around the mental health struggles experienced by pre-registration nursing students, and the effect of a non-traditional mental health placement in decreasing self-stigmatizing attitudes in this population, is important for the future of retaining mental health nurses.</li> <li>There is an opportunity to use the clinical placement model presented, and design interventions for nursing students that aims to promote help-seeking behaviours.</li> </ul> </div> </section> <section> </section> <section> <h3> Introduction</h3> <p>Traditional mental health clinical placements can improve pre-registration nurse stigma toward mental illness, particularly in measures of attitudes and social distance. However, they have not yet been shown to improve self-stigma, which affects mental health disclosure and help-seeking behaviour.</p> </section> <section> <h3> Aim</h3> <p>The present study investigates nursing students' stigma following a non-traditional mental health placement immersed alongside people living with mental illness.</p> </section>
有关该主题的已知信息:注册前护理专业学生报告的成见率很高,导致他们在寻求心理健康问题帮助时的求助态度很低。传统的心理健康临床实习可以改善注册前护理专业学生在态度和社会距离方面的成见:没有任何临床实习干预措施能减少注册前护理专业学生的自我污名化,本研究强调了一种能有效减少自我污名化的临床实习模式:对实践的启示:了解注册前护理专业学生在心理健康方面所经历的挣扎,以及非传统心理健康实习在减少该群体自我鄙视态度方面的效果,对于未来留住心理健康护士非常重要。我们有机会利用所介绍的临床实习模式,为护理专业学生设计旨在促进求助行为的干预措施。摘要:引言:传统的心理健康临床实习可以改善注册前护士对精神疾病的耻辱感,尤其是在态度和社会距离方面。目的:本研究调查了护理专业学生在非传统心理健康实习中与精神疾病患者相处后的耻辱感情况:方法:使用 "医护人员开放心态量表"(Opening Minds Scale for Healthcare Providers)对三种成见亚型进行测量:结果:注册护士预科生(N 人)在实习期间对精神疾病患者产生了偏见:结果:注册前护士(N = 848)在就职前和就职后完成了问卷调查。多变量方差分析(MANOVA)发现,安置对成见的影响很大(p η p 2 $$ {eta}_p^2 $$ = .101)。事后配对比较显示,所有三种类型的成见在非传统安置后都有所减少(态度:p η p 2 $$ {eta}_p^2 $$ = 0.09,社会距离:p η p 2 $$ {eta}_p^2 $$ = 0.07,披露/寻求帮助:p η p 2 $$ {eta}_p^2 $$ = 0.04):这些研究结果强调,参加非传统的心理健康临床实习可以有效减少护生的多种成见:局限性:这一领域的进一步研究可以关注临床实习环境的哪些属性会促进积极的求助:这些结果对于围绕信息披露/寻求帮助的污名化而言值得注意,因为传统的(即基于医院的)心理健康临床实习在减少护生在这一领域的污名化方面效果不佳:建议:需要进一步研究非传统临床实习对减少护生在心理健康披露和寻求帮助方面的耻辱感的有效性。
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引用次数: 0
Navigating challenges and shaping futures through mental health nursing in the United Kingdom 通过英国心理健康护理应对挑战和塑造未来。
IF 2.6 4区 医学 Q1 NURSING Pub Date : 2024-08-07 DOI: 10.1111/jpm.13092
Dean McShane, Amy Madden, Lucy Kinsey, Oladayo Bifarin
<div> <section> <h3> What is known on the subject?</h3> <div> <ul> <li>Mental health nurses in the UK play a critical role in providing care, advocating for patients and navigating the complexities associated with mental health challenges.</li> <li>Acknowledging and supporting the efforts of mental health nurses is essential for advancing mental health care, promoting inclusivity and fostering community resilience amidst ongoing challenges within existing health care organisations.</li> </ul> </div> </section> <section> <h3> What this paper adds to existing knowledge?</h3> <div> <ul> <li>Highlights the integral role of mental health nurses in the UK's health system as both care providers and advocates, underpinning the importance of addressing the growing demand for mental health services</li> <li>Introduces innovative digital tools like the ‘Hub of Hope’ and the potential of social prescribing as effective strategies for improving access to mental health care and support.</li> <li>Emphasises the need for enhanced support and recognition of mental health nurses to ensure the sustainable advancement of mental health services and the well-being of communities.</li> </ul> </div> </section> <section> <h3> What are the implications for practice?</h3> <div> <ul> <li>Mental health nurses should integrate innovative digital tools like the ‘Hub of Hope’ into their practice to improve signposting and access to mental health resources for individuals in need.</li> <li>There is a critical need for ongoing education and support for mental health nurses within practice settings to maintain their well-being and enhance their ability to provide holistic care despite increasing clinical demands.</li> <li>Advocacy for increased investment in mental health resources and support for research activities lead by mental health nurses is essential to address current service gaps and promote the development of more effective interventions.</li> </ul>
相关知识:在英国,心理健康护士在提供护理、为患者辩护以及应对与心理健康挑战相关的复杂问题方面发挥着至关重要的作用。承认并支持心理健康护士的努力对于推进心理健康护理、促进包容性以及在现有医疗机构面临的持续挑战中培养社区适应力至关重要。本文对现有知识的补充:强调了心理健康护士在英国医疗系统中不可或缺的作用,她们既是医疗服务的提供者,也是宣传者,这就证明了满足日益增长的心理健康服务需求的重要性。 介绍了 "希望枢纽 "等创新数字工具以及社会处方的潜力,它们是改善心理健康护理和支持的有效策略。强调需要加强对心理健康护士的支持和认可,以确保心理健康服务的可持续发展和社区的福祉。对实践有什么影响?心理健康护士应将 "希望枢纽 "等创新型数字工具融入到自己的实践中,为有需要的个人提供更多的心理健康资源。尽管临床需求不断增加,但心理健康护士仍亟需在实践环境中不断接受教育和支持,以保持身心健康并提高提供整体护理的能力。倡导增加对心理健康资源的投资,支持由心理健康护士领导的研究活动,对于解决目前的服务差距和促进开发更有效的干预措施至关重要。
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引用次数: 0
Family resilience experiences of individuals with schizophrenia-family caregivers dyads: Qualitative study 精神分裂症患者-家庭照顾者二元组合的家庭复原经验:定性研究。
IF 2.6 4区 医学 Q1 NURSING Pub Date : 2024-08-06 DOI: 10.1111/jpm.13091
Ayşe Sari, Zekiye Çetinkaya Duman
<div> <section> <h3> What is known on the subject?</h3> <div> <ul> <li>Family resilience is an important determinant of family caregivers' coping with difficulties of life and stress effectively.</li> <li>Family resilience factors contribute to the family's adaptation to difficulties. From the perspective of the individual living with schizophrenia and family, family resilience focuses not on the losses experienced but on the strengths.</li> </ul> </div> </section> <section> <h3> What does this paper adds to existing knowledge?</h3> <div> <ul> <li>Many factors such as routines, positive cognitions, intra-family communication, family support and love as a healing force that contribute to family resilience were identified from the common perspective of the individual diagnosed with schizophrenia-family caregiver dyads.</li> <li>The climate of love within the family is an important strength both for the patient diagnosed with schizophrenia and for the family caregivers.</li> <li>Mutual support between family members, their listening to each other and sharing experiences with each other during this disease process are therapeutic for both parties and make them resilient.</li> </ul> </div> </section> <section> <h3> What are the implications for practice?</h3> <div> <ul> <li>Family resilience factors should be considered in planning psychosocial interventions to be applied to individuals diagnosed with schizophrenia and family caregivers.</li> <li>The clinical use of psychosocial support interventions in family resilience which help both the individual diagnosed with schizophrenia and the family caregivers to gain a positive perspective, to improve their problem-solving skills, and to support each other within the family should be expanded.</li> <li>Displaying approaches aimed at increasing the climate of love and strengthening correct communication techniques within the family towards both the individual diagnosed with schizophrenia and the family caregiver should be supported.</li> <li>Psychiatric nurses' focusing on family resilience from a systemic perspective i
对这一主题的了解:家庭复原力是家庭照顾者有效应对生活困难和压力的重要决定因素。家庭复原力因素有助于家庭对困难的适应。从精神分裂症患者和家庭的角度来看,家庭复原力的重点不在于所经历的损失,而在于优势。本文对现有知识有何补充?从精神分裂症患者和家庭照顾者的共同视角出发,发现了许多有助于提高家庭复原力的因素,如常规生活、积极认知、家庭内部沟通、家庭支持以及作为治愈力量的爱。家庭内部的爱的氛围对于精神分裂症患者和家庭照顾者来说都是一种重要的力量。家庭成员之间的相互支持、相互倾听以及在疾病过程中相互分享经验,对双方都有治疗作用,并使他们具有顽强的生命力。对实践有何意义?在计划对被诊断为精神分裂症的患者和家庭照顾者采取社会心理干预措施时,应考虑家庭复原力因素。应在临床上扩大对家庭复原力的社会心理支持干预措施的使用范围,这些干预措施可以帮助精神分裂症患者和家庭照顾者获得积极的观点,提高他们解决问题的能力,并在家庭中相互支持。应支持在家庭中向精神分裂症患者和家庭照顾者展示旨在增加爱的氛围和加强正确沟通技巧的方法。精神科护士从系统的角度关注慢性精神疾病(如精神分裂症)患者家庭的复原力,可以增强患者和家庭的力量。该视角关注功能层面,尽管存在问题,但仍能保护心理健康。摘要:引言:家庭复原力是慢性精神疾病患者应关注的重要概念之一。目的:本研究旨在从精神分裂症患者-家庭照顾者二人组的角度调查家庭复原力经验:研究在土耳其西部某省一所大学医院的成人精神病住院部和门诊部进行,采用现象学方法。研究采用有目的的抽样方法,共选取了 20 名参与者。其中,10 人是家庭护理人员,10 人是被诊断为精神分裂症的患者。研究结果在沃尔什家庭复原力模型的关键过程框架内,采用二元方法进行分析。采用定向内容分析法对研究数据进行分析。研究报告采用了 COREQ 检查表:经过分析,得出了以下五大主题:积极认知、常规、家庭支持、家庭内部沟通和作为治愈力量的爱:家庭复原力是由家庭成员之间的关系形成的一种结构。讨论:家庭复原力是由家庭成员之间的关系所形成的结构,本文根据相关文献,讨论了导致精神分裂症患者-照顾者二人组克服家庭复原力困难的因素:应实施干预计划,通过改善家庭关系和沟通、提高问题解决能力和增加支持资源来营造爱的环境。
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引用次数: 0
Effectiveness of a spiritual adaptation of cognitive behavioural therapy in improving resilience, self-esteem and spirituality among clients with opioid use disorder: A quasi-experimental study 认知行为疗法的灵性调整对改善阿片类药物使用障碍患者的复原力、自尊和灵性的效果:一项准实验研究。
IF 2.6 4区 医学 Q1 NURSING Pub Date : 2024-08-05 DOI: 10.1111/jpm.13089
Hassan Mohammed Sonbol, Mona Metwally El-Sayed, Samah Mohamed Taha, Mahmoud Abdelwahab Khedr, Ayman Mohamed El-Ashry, Eman Sameh Abd Elhay
<div> <section> <h3> What is known on the subject?</h3> <div> <ul> <li>Opioid use disorder (OUD) is a prevalent problem among Egyptian youth, and achieving recovery and abstinence is challenging. Cognitive behavioural therapy (CBT), a well-known approach, can be particularly beneficial when it addresses psychological aspects such as resilience and self-esteem.</li> </ul> </div> </section> <section> <h3> What does the paper add to existing knowledge?</h3> <div> <ul> <li>Our research is recognized as a trailblazer in integrating a spiritual adaptation of CBT with spiritual elements for treating patients with OUD in the Egyptian context. This innovative approach marks a significant advancement in the field.</li> <li>The study found a statistically significant increase in the mean scores of resilience, self-esteem, and spirituality (<i>p</i> < .001 each) following the spiritual adaptation of CBT sessions compared to the control group.</li> </ul> </div> </section> <section> <h3> What are the implications for practice?</h3> <div> <ul> <li>The findings can guide psychiatrists and nurses in providing more comprehensive and effective care to patients with OUD by incorporating a spiritual adaptation of CBT with spiritual components into treatment plans.</li> </ul> </div> </section> <section> </section> <section> <h3> Introduction</h3> <p>Opioid use disorder (OUD) is a prevalent problem among Egyptian youth, and achieving recovery and abstinence is challenging. Cognitive behavioural therapy (CBT), a well-known approach, can be particularly beneficial when it addresses psychological aspects such as resilience, self-esteem and spirituality.</p> </section> <section> <h3> Aim</h3> <p>This study aimed to evaluate the effectiveness of a spiritual adaptation of CBT in enhancing these factors among clients with OUD.</p> </section> <section> <h3> Methods</h3> <p>A quasi-experimental study with a control group was conducted using a pretest-posttest design. The study included 49 clients with OUD and 46 clients in the control group. The Ros
相关知识:阿片类药物使用障碍(OUD)是埃及青少年中普遍存在的问题,实现康复和戒断具有挑战性。认知行为疗法(CBT)是一种众所周知的方法,如果能解决心理方面的问题,如复原力和自尊,则会特别有益。论文对现有知识有何补充?我们的研究被公认为是在埃及背景下将 CBT 的精神疗法与治疗 OUD 患者的精神元素相结合的开路先锋。这种创新方法标志着该领域的重大进步。研究发现,抗逆力、自尊和灵性的平均得分(p 摘要:引言:阿片类药物使用障碍(OUD)是埃及青少年中普遍存在的问题,实现康复和戒断具有挑战性。认知行为疗法(CBT)是一种众所周知的方法,当它涉及心理方面(如复原力、自尊和灵性)时尤其有益:方法:采用前测-后测设计,进行了一项带对照组的准实验研究。研究包括 49 名 OUD 患者和 46 名对照组患者。测量工具包括罗森伯格自尊量表-阿拉伯语修订版、每日精神体验量表和康纳-戴维森复原力量表。CBT 在 60 分钟的小组课程中进行。3 个月后,再次进行问卷调查,以评估对 CBT 课程进行心灵调整的效果:研究发现,复原力、自尊和灵性的平均得分在统计学上有显著提高(P 讨论):对 CBT 进行灵性调整可有效增强 OUD 患者的复原力、自尊和灵性:对实践的启示:了解CBT的精神适应疗法在增强复原力、自尊和灵性方面的效果,可以帮助精神科医生和护士为OUD患者提供更全面、更有效的护理。
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引用次数: 0
Factors that influence hospitalization stress in patients with chronic schizophrenia: A cross-sectional study in psychiatric hospitals 影响慢性精神分裂症患者住院压力的因素:精神病院横断面研究。
IF 2.6 4区 医学 Q1 NURSING Pub Date : 2024-07-29 DOI: 10.1111/jpm.13090
Sumin Chai, Goun Kim
<div> <section> <h3> What Is Known on the Subject?</h3> <div> <ul> <li>Patients with chronic schizophrenia become vulnerable to stress when admitted to psychiatric wards, lacking the abilities to independently cope with stress. Therefore, it is crucial to focus on the stress associated with hospitalization.</li> <li>Stress increases when interpersonal functioning is impaired due to schizophrenia symptoms. Social support acts as a protective factor against stress, boosting coping skills and problem-solving abilities.</li> </ul> </div> </section> <section> <h3> What the Paper Adds to Existing Knowledge</h3> <div> <ul> <li>Interpersonal relationships, marital status, having cohabited before hospitalization and hospitalization type were associated with hospitalization stress in patients with chronic schizophrenia.</li> <li>Patients with chronic schizophrenia continue aging (mean 55.73 ± 11.14) within closed psychiatric hospitals due to their long-term hospitalizations (mean 14.24 ± 11.37).</li> </ul> </div> </section> <section> <h3> What Are the Implications for Practice?</h3> <div> <ul> <li>Mental health nurses need to use a standardized nursing assessment including interpersonal relationships, family support system and hospitalization type that may affect hospitalization stress in patients with chronic schizophrenia.</li> <li>Mental health nurses should develop tailored interventions to reduce hospitalization stress for long-stay patients with chronic schizophrenia that consider aging, illness duration, and length of hospital stay, as well as psychiatric symptoms.</li> <li>Mental health nurses need to make efforts to help the families of patients with schizophrenia solidify an important support system by participating in treatment plans and intervention programs, checking on the patients' condition, and spending time with them.</li> </ul> </div> </section> <section> </section> <section>
相关知识:慢性精神分裂症患者住进精神病院后,由于缺乏独立应对压力的能力,很容易受到压力的影响。因此,关注与住院相关的压力至关重要。当精神分裂症症状导致人际功能受损时,压力就会增加。社会支持可作为压力的保护因素,提高应对技能和解决问题的能力:人际关系、婚姻状况、住院前是否同居以及住院类型与慢性精神分裂症患者的住院压力有关。由于长期住院(平均为 14.24 ± 11.37),慢性精神分裂症患者在封闭的精神病院中持续老化(平均为 55.73 ± 11.14)。对实践有何意义?精神科护士需要使用标准化护理评估,包括可能影响慢性精神分裂症患者住院压力的人际关系、家庭支持系统和住院类型。精神科护士应制定有针对性的干预措施,以减轻长期住院的慢性精神分裂症患者的住院压力,这些干预措施应考虑患者的年龄、病程、住院时间以及精神症状。精神卫生护士需要努力帮助精神分裂症患者的家属巩固重要的支持系统,参与治疗计划和干预项目,检查患者的病情,并花时间陪伴他们。摘要:引言:精神病院中的慢性精神分裂症患者由于生活在封闭的空间中,经常缺乏独立处理压力所需的应对技能,因此压力增大。目的:探讨精神病院中慢性精神分裂症患者的人际关系、社会支持与住院压力,并确定与住院压力相关的因素:这项横断面研究通过便利抽样从韩国 B 市的两家精神病院招募了 135 名确诊时间超过两年的精神分裂症患者。我们进行了描述性统计和量回归:结果:人际关系、婚姻状况、住院前同居和自愿入院是影响住院压力的重要因素:讨论:要减轻慢性精神分裂症患者的住院压力,需要标准化的护理评估、积极的家庭支持以及包括人际关系在内的量身定制的压力管理计划:要确定慢性精神分裂症患者住院压力的第90百分位组,必须考虑人际关系、婚姻状况、入院前同居情况、住院类型以及年龄增长和住院时间延长等因素。精神健康护士应制定并实施以家庭治疗为基础的人际关系计划,以减轻慢性精神分裂症患者的住院压力,并让家属积极参与到这一过程中来。
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引用次数: 0
期刊
Journal of Psychiatric and Mental Health Nursing
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