Factors involved in recovery from schizophrenia: A qualitative study of Thai mental health nurses
Factors involved in recovery from schizophrenia: A qualitative study of Thai mental health nurses
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DOI：
10.1111/j.1442-2018.2011.00621.x
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发表时间：
2011-09-01
影响因子：
2.7
通讯作者：
Deane, Frank P.
中科院分区：
文献类型：
--
作者：
Kaewprom, Chettha;Curtis, Janette;Deane, Frank P.
世界各地越来越需要以恢复为导向的服务。这些服务不仅仅将精神疾病的康复视为症状缓解，而且将其视为个人重新定义自我和“过上好生活”的能力，即使症状持续存在。然而，人们对泰国护士对康复概念的看法知之甚少。本文介绍了一项定性研究的结果，该研究探讨了 24 名泰国护士对精神分裂症和康复的看法。对在医院和社区环境中为精神分裂症患者提供护理的护士进行了半结构化访谈。主题分析确定了与康复相关的个人和环境因素。接受疾病、希望和坚持治疗被视为康复的促进因素，而自我责任水平低和疾病相关因素则是障碍。环境因素，例如支持性环境的存在和心理健康服务的可及性，被描述为促进因素，而对心理健康疾病的耻辱和支离破碎的卫生服务则是障碍。讨论了这些结果对促进泰国以康复为导向的精神卫生服务的影响。
Recovery-oriented services increasingly are being called for around the world. These services do not just consider recovery from mental illness as symptom remission, but as individuals' ability to redefine their self and to "live well", even with enduring symptoms. However, little is known about the views of Thai nurses regarding the conceptualization of recovery. This article presents the findings of a qualitative study that explored the perspectives of 24 Thai nurses regarding schizophrenia and recovery. Semistructured interviews were conducted with nurses who were providing care for persons who were living with schizophrenia in both hospital and community settings. A thematic analysis identified the personal and environmental factors that were related to recovery. Illness acceptance, hope, and adherence to treatment were viewed as the facilitators of recovery, while a low level of self-responsibility and illness-related factors were barriers. Environmental factors, such as the presence of a supportive environment and accessibility to mental health services, were described as facilitators, while stigma towards mental health illness and fragmented health services were barriers. The implications of these results in promoting recovery-oriented mental health services in Thailand are discussed.