有月经的地方真可怕":由幸存者主导的英国精神病院月经健康体验调查》(A Survivor-Led Investigation of Experiences of Menstrual Health in Psychiatric Inpatient Settings in England)。

Mx Hat Porter
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摘要

本研究调查了英国精神病住院患者的月经健康经历,调查报告由员工和患者共同提供。研究人员对 67 名工作人员和 101 名有月经和在精神病院治疗经历的患者进行了问卷调查。对有月经和治疗经历的人进行了 10 次半结构式访谈。采用反思性主题分析法对数据进行了分析。根据机构和人际环境的总体主题,确定了四个主题:月经材料的获取;在精神病住院环境中月经时缺乏隐私;对月经的态度和方法;以及月经支持需求和护理提供。所报告的经历各不相同,一些病人得到了有尊严的护理,而另一些病人则描述了他们所面临的 "有辱人格 "和 "非人化 "的待遇,以及与他们通常经历的情况相比,月经带来的更多羞耻和尴尬。这似乎是由于心理健康服务忽视月经和过度依赖限制性做法之间的相互作用造成的。这些经历可以被理解为月经期的不公正、月经期的贫困,有可能构成忽视并造成先天性伤害。参与者还讨论了他们的精神疾病和痛苦,尤其是在创伤和/或饮食失调的背景下,如何影响了他们的月经经历。然而,许多患者在这方面没有得到足够的支持。患者与月经或妇科疾病有关的疼痛和失调常常被工作人员忽视,或被认为不属于心理健康服务的职责范围。这项研究强调,迫切需要采取行动,为精神病住院患者中的月经患者提供更多支持。
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'It's a Horrible Place to Have a Period': A Survivor-Led Investigation of Experiences of Menstrual Health in Psychiatric Inpatient Settings in England.

This study examined patients' experiences of menstrual health in psychiatric inpatient settings in England as reported by staff and patients. Questionnaires were conducted with 67 staff members and 101 people with lived experience of menstruation and treatment on a psychiatric ward. 10 semi-structured interviews were conducted with people with lived experience. Data were analysed using reflexive thematic analysis. Grouped into overarching themes of institutional and interpersonal environments, four themes were identified: access to menstrual materials; the lack of privacy when menstruating in psychiatric inpatient settings; attitudes and approaches to menstruation; and menstrual support needs and care provision. There was variation among the experiences reported, with some patients receiving dignified care, whilst others described facing 'degrading' and 'dehumanising' treatments and enhanced feelings of shame and embarrassment around menstruation, in comparison with what they usually experience. This appeared to arise due to the interplay between mental health services overlooking menstruation and the overreliance on restrictive practices. These experiences may be understood as menstrual injustices, period poverty, potentially amounting to neglect and posing iatrogenic harms. Participants also discussed how their mental illness and distress, particularly within the context of trauma and/or eating disorders, shaped their menstrual experiences. However, many patients did not receive adequate support in relation to this. Patients' pain and disorder related to menstruation, or gynaecological conditions, was often described as being dismissed by staff or being viewed as beyond the responsibility of mental health services. This study highlighted the urgency for actions to be taken to provide greater support for patients who menstruate in psychiatric inpatient settings.

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