法医精神病患者的个人康复体验:威尔逊概念分析》。

Journal of forensic nursing Pub Date : 2024-04-01 Epub Date: 2024-02-03 DOI:10.1097/JFN.0000000000000477
Katja Lumén, Olavi Louheranta, Lauri Kuosmanen
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摘要

摘要:精神病患者的康复过程已经得到了相当广泛的研究,对于什么是康复已经有了相对明确的共识。我们研究了法医精神病患者的个人康复是否与这一定义有所不同。我们根据 21 篇文章进行了概念分析,以评估法医精神病院患者的个人康复情况,然后评估了我们的结果与现有精神病和法医康复定义的比较情况。在比较的基础上,我们得出结论,法医精神病患者的个人康复确实不同于其他精神病患者。法医精神病患者的康复过程可以通过五个主题来描述:个人发展与自主、社会融入与正常、救赎与克服、未来定位与希望,以及前进的过程。精神障碍的负担会带来类似的挑战,但犯罪史和长期住院治疗是法医精神病患者的独特问题,两者都会导致他们与社会严重疏离,并使他们在精神病院外生活所需的技能退化。研究结果表明,对刑事犯罪的处理应成为护理工作的一部分;此外,机构应支持法医精神病患者重新融入社会和个人发展。识别特殊的康复挑战有助于设计有效的护理和促进法医精神病患者的康复。因此,我们的研究结果表明,在规划法医精神病患者的精神护理时,应考虑到他们康复过程中的某些特点。
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Forensic Psychiatric Patients' Experiences of Personal Recovery: A Wilsonian Concept Analysis.

Abstract: Psychiatric patients' recovery processes have been studied rather extensively, and a relatively clear consensus on what recovery is already exists. We examined whether the personal recovery of forensic psychiatric patients varies from this definition. We conducted a concept analysis to assess the personal recovery of patients in forensic psychiatric hospitals based on 21 articles and then evaluated how our results compared with existing definitions on psychiatric and forensic recovery. On the basis of this comparison, we concluded that the personal recovery of forensic psychiatric patients does differ from that of other psychiatric patients. The recovery process of forensic psychiatric patients can be described through five themes: personal development and autonomy, social inclusion and normality, redemption and overcoming, future orientation and hope, and advancing process. The burden of a psychiatric disorder causes similar challenges, yet a criminal history and long hospitalization periods are distinctive issues for forensic patients, both of which can lead to severe alienation from society and deterioration of skills needed in life outside an institution. The results suggest that processing the criminal offense should be part of the care; furthermore, institutions should support forensic psychiatric patients in their reintegration into society and personal development. Identifying special recovery challenges can be useful when designing effective care and promoting the recovery of forensic patients. Thus, our results suggest that certain features of forensic psychiatric patients' recovery should be considered when planning their psychiatric care.

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